| NPI | 1912408758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE NICHOLE GRUBER Operations Manager 734-241-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |