Organization
GLORY HEARING CARE, PLLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE MARIELLE SMITH HIS (CEO)
(313) 333-0534
Entity
Organization
Contact information
Practice address
43001 W 9 MILE RD., SUITE 109 PMB 2041, NOVI, MI 48375
(313) 333-0534
Mailing address
43001 W 9 MILE RD., SUITE 109 PMB 2041, NOVI, MI 48375
(313) 333-0534
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15013663
—
MI
Enumeration date
12/15/2022
Last updated
12/15/2022
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