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Organization
DYNAMIC AUDIOLOGY INC
Active
Organization
DYNAMIC AUDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER HUGHES (PRESIDENT)
(517) 887-7660
Entity
Organization
Contact information
Practice address
3410 BELLE CHASE WAY, SUITE 700, LANSING, MI 48911-4282
(517) 887-7660
(517) 887-7661
Mailing address
3410 BELLE CHASE WAY, SUITE 700, LANSING, MI 48911-4282
(517) 887-7660
(517) 887-7661
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000000506
PHPMM
MI
05
—
4683710
—
MI
05
—
4684351
—
MI
01
—
OC31283
BCBSM
MI
Enumeration date
01/10/2008
Last updated
11/13/2009
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