Organization
EAR CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY K KROLL AU.D. (AUDIOLOGIST)
(920) 988-8223
Entity
Organization
Contact information
Practice address
125B E PINE ST, LAKE MILLS, WI 53551-1103
(920) 648-4020
(920) 648-4365
Mailing address
125B E PINE ST, LAKE MILLS, WI 53551-1103
(920) 648-4020
(920) 648-4365
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
309-156
WI
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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