| NPI | 1639390065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MICHELLE SIMON Audiologist 248-926-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000169) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |