| NPI | 1609491000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH LACEY Pses Manager 616-486-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-08-03 |