Individual
TERRANCE L FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1004 1ST ST, STEVENS POINT, WI 54481-2652
(715) 341-4250
(920) 887-9655
Mailing address
140 CORPORATE DR, SUITE 1, BEAVER DAM, WI 53916-1281
(920) 887-9655
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1294-060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42840500
—
WI
Enumeration date
07/02/2008
Last updated
07/02/2008
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