Organization
RANDI MICHAEL SPEECH PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI MICHAEL (OWNER)
(989) 598-0400
Entity
Organization
Contact information
Practice address
934 EASTGATE CT, FRANKENMUTH, MI 48734-1246
(989) 598-0400
Mailing address
934 EASTGATE CT, FRANKENMUTH, MI 48734-1246
(989) 598-0400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001389
MI
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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