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Individual
SUSAN MARIE VONDERFECHT
Active
Individual
SUSAN MARIE VONDERFECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
317
NE
237700000X
Hearing Instrument Specialist
143
NE
237700000X
Hearing Instrument Specialist
900801
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457458556
—
NE
Enumeration date
07/19/2013
Last updated
08/03/2021
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