Organization
WATERFORD HEARING CENTER
Active
Organization
WATERFORD HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSIE B GRSKOVIC AU.D. (OWNER)
(219) 961-5077
Entity
Organization
Contact information
Practice address
3777 N WOZNIAK RD, MICHIGAN CITY, IN 46360-9284
(219) 961-5077
Mailing address
3777 N WOZNIAK RD, MICHIGAN CITY, IN 46360-9284
(219) 961-5077
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
23002485A
IN
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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