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Organization
LIONS HEARING CENTER
Active
Organization
LIONS HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MATHOG M.D. (ADMINISTRATOR)
(313) 745-8100
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 5E, DETROIT, MI 48201-2153
(313) 745-1740
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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