Individual
JARED HOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MERCY HEALTH HAUENSTEIN NEUROSCIENCE CENTER 220 CHERRY, GRAND RAPIDS, MI 49503
(616) 685-6746
Mailing address
HAUENSTEIN NEUROSCIENCE CENTER 220 CHERRY ST SE, GRAND RAPIDS, MI 49503
(616) 685-6749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004610
MI
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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