Individual
KATHLEEN MARY HAUSBECK-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1111 TENEYCK ST, SUITE 200, JACKSON, MI 49201-2461
(517) 787-1468
(517) 787-0613
Mailing address
DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 48267-2728
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3501003075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4699819
—
MI
Enumeration date
05/26/2006
Last updated
11/23/2007
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