Individual
JOHN E TECCA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
576 ROMENCE RD, SUITE 121, PORTAGE, MI 49024
(269) 324-0555
(269) 324-2482
Mailing address
576 ROMENCE RD, SUITE 121, PORTAGE, MI 49024
(269) 324-0555
(269) 324-2482
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382865858051
COMMUNITY CHOICE
MI
01
—
540C90287
BCBS OF MI
MI
01
—
640C92603
BCBS OF MI
MI
Enumeration date
03/17/2006
Last updated
07/08/2007
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