Organization
AUDIO-AID RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA LYNN WALL AU.D. (PRESIDENT)
(989) 835-1219
Entity
Organization
Contact information
Practice address
6855 N. EASTMAN AVE., MIDLAND, MI 48642
(989) 835-1219
(989) 835-7198
Mailing address
6855 EASTMAN AVE, MIDLAND, MI 48642-7897
(989) 835-1219
(989) 835-7198
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
1601000067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904508130
—
MI
Enumeration date
12/01/2008
Last updated
12/01/2008
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