Organization
GRAND HEARING CENTER LLC
Active
Organization
GRAND HEARING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LOGEL JR. M.A. (AUDIOLOGIST)
(517) 647-4327
Entity
Organization
Contact information
Practice address
1330 E GRAND RIVER AVE, STE B, PORTLAND, MI 48875-1630
(517) 647-4327
(517) 647-2442
Mailing address
1330 E GRAND RIVER AVE, STE B, PORTLAND, MI 48875-1630
(517) 647-4327
(517) 647-2442
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
1601000414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285671164
—
MI
Enumeration date
04/27/2012
Last updated
04/27/2012
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