# LIONS HEARING CENTER OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lions Hearing Center of Southeastern Michigan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487059325
- **Authorized official:** MR. PHIL ALLEN WELLS MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (313) 577-5182

## Contact information

- **Practice address:** 1326 ST. ANTOINE, DETROIT, MI 48226
- **Practice address phone:** (313) 967-2048
- **Practice address fax:** (313) 967-2053
- **Mailing address:** 4201 ST. ANTOINE, 5E-UHC, DETROIT, MI 48201
- **Mailing address phone:** (313) 577-5182
- **Mailing address fax:** (313) 577-8555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | MI | Yes |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 11/04/2014