Organization
GREAT LAKES AUDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT DANIEL KEIFER AU.D. (OWNER/AUDIOLOGIST)
(419) 464-8915
Entity
Organization
Contact information
Practice address
3780 KING RD, SUITE C, TOLEDO, OH 43617-1400
(419) 464-8915
Mailing address
3780 KING RD, SUITE C, TOLEDO, OH 43617-1400
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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