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Organization

AUDIOLOLGY HEARING CLINIC OF MEQUON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHAN B. RYAN AU.D. (DOCTOR OF AUDIOLOGY)
(262) 241-3144
Entity
Organization

Contact information

Practice address
11649 N PORT WASHINGTON RD, SUITE 105, MEQUON, WI 53092-3460
(262) 241-3144
(262) 241-3186
Mailing address
11649 N PORT WASHINGTON RD, SUITE 105, MEQUON, WI 53092-3460
(262) 241-3144
(262) 241-3186

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41-156
WI

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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