Organization
MIDWEST HEARING SPECIALISTS, LLC
Active
Organization
MIDWEST HEARING SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KONTOS--LOGRASSO (OWNER)
(586) 242-2279
Entity
Organization
Contact information
Practice address
4579 32 MILE RD, BRUCE TWP, MI 48065-4101
(586) 242-2279
Mailing address
4579 32 MILE RD, BRUCE TWP, MI 48065-4101
(586) 242-2279
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699948505
—
MI
Enumeration date
07/31/2015
Last updated
07/31/2015
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