Organization
NEW EAR HEARING
Active
Other names
New Ear Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARI LYNN SYSAK (OWNER)
(586) 294-9887
Entity
Organization
Contact information
Practice address
31503 HARPER AVE, SAINT CLAIR SHORES, MI 48082-2455
(586) 294-9887
(586) 469-1316
Mailing address
31503 HARPER AVE, ST CLAIR SHORES, MI 48082-2455
(586) 294-9887
(586) 469-1316
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
LS002594
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540E007710
BCBS
MI
Enumeration date
05/09/2007
Last updated
07/14/2008
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