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Organization

MIDWEST AUDIOLOGY & HEARING CENTER, LLC

Active
Parent organization
MIDWEST AUDIOLOGY & HEARING CENTER, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIDWEST AUDIOLOGY & HEARING CENTER, LLC
Authorized official
DOUGLAS A KLOSS AUD (OWNER/PROVIDER)
(414) 281-8300
Entity
Organization

Contact information

Practice address
4818 S 76TH ST, SUITE 3, GREENFIELD, WI 53220-4362
(414) 281-8300
(414) 455-0159
Mailing address
4818 S 76TH ST STE 12, GREENFIELD, WI 53220-4362
(414) 281-8300
(414) 455-0159

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
152156
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83991
MEDICARE PTAN
WI
Enumeration date
01/28/2014
Last updated
12/06/2025
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