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Organization
AUDIOLOLGY HEARING CLINIC OF MEQUON LLC
Active
Organization
AUDIOLOLGY HEARING CLINIC OF MEQUON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN B. RYAN AU.D. (DOCTOR OF AUDIOLOGY)
(262) 241-3144
Entity
Organization
Contact information
Practice address
11649 N PORT WASHINGTON RD, SUITE 105, MEQUON, WI 53092-3460
(262) 241-3144
(262) 241-3186
Mailing address
11649 N PORT WASHINGTON RD, SUITE 105, MEQUON, WI 53092-3460
(262) 241-3144
(262) 241-3186
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41-156
WI
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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