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Organization
MUSKEGON HEARING & SPEECH CENTER, INC.
Active
Organization
MUSKEGON HEARING & SPEECH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER SMITH MA-CCC-A (EXECUTIVE DIRECTOR)
(231) 737-0527
Entity
Organization
Contact information
Practice address
1155 E. SHERMAN BLVD, MUSKEGON, MI 49444-1450
(231) 737-0527
(231) 733-4093
Mailing address
1155 E. SHERMAN BLVD, MUSKEGON, MI 49444-1450
(231) 737-0527
(231) 733-4093
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
KS001083
MI
231H00000X
Audiologist
Primary
KS761379
MI
231H00000X
Audiologist
SB002162
MI
231H00000X
Audiologist
SB013583
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F110520
BCBS HEARING AID GROUP
MI
01
—
640F110510
BCBC GROUP SERVICE
MI
05
—
804678588
—
MI
05
—
902613459
—
MI
Enumeration date
05/16/2006
Last updated
06/24/2008
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