Organization
SAM'S CLUB HEARING CENTER
Active
Parent organization
SAM'S CLUB
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAM'S CLUB
Authorized official
MELISSA THOMAS HIS (HEARING PRACTITIONER)
(608) 287-3455
Entity
Organization
Contact information
Practice address
7050 WATTS RD, MADISON, WI 53719-1365
(608) 287-3455
Mailing address
7050 WATTS RD, MADISON, WI 53719-1365
(608) 287-3455
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1463-60
WI
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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