| NPI | 1619485968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SHANKS Owner 517-375-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: MI 1601000554) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |