Individual
DR. SUSANNA LOVE CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
1555 44TH ST SW, WYOMING, MI 49509-4395
(616) 249-8000
(616) 249-8088
Mailing address
3029 WINESAP DR NE, GRAND RAPIDS, MI 49525-3155
(616) 249-8000
(616) 249-8088
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000553
MI
Other
Enumeration date
06/18/2010
Last updated
01/04/2012
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