Individual
MS. JAMIE BAUM GOVERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-2862
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601001057
MI
Other
Enumeration date
08/18/2008
Last updated
01/19/2024
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