Organization
MIDMICHIGAN AUDIOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT CAMP M.D. (OWNER)
(989) 839-6201
Entity
Organization
Contact information
Practice address
2520 MCCANDLESS DR, MIDLAND, MI 48640-6115
(989) 839-6201
(989) 839-6202
Mailing address
PO BOX 1446, MIDLAND, MI 48641-1446
(989) 839-6201
(989) 839-6202
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040E610050
BCBS
MI
01
—
540E602710
BCBS
MI
01
—
640E626040
BCBS
MI
Enumeration date
07/22/2006
Last updated
01/05/2009
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