Organization
ADVANCED AUDIOLOGY HEARING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALAN BYLSMA AU.D. (PRESIDENT/DOCTOR OF AUDIOLOGY)
(616) 977-0379
Entity
Organization
Contact information
Practice address
1815 BRETON RD SE, GRAND RAPIDS, MI 49506-4800
(616) 977-0379
(616) 977-0379
Mailing address
1815 BRETON RD SE, GRAND RAPIDS, MI 49506-4800
(616) 977-0379
(616) 977-0379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3501002046
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
902637236
—
MI
Enumeration date
05/04/2008
Last updated
05/04/2008
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