| NPI | 1720375397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA WALL Owner 989-835-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000067) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2012-06-14 |