Individual
DR. MICHELLE ELIZABETH RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
24 N SAINT JOSEPH AVE, SUITE C-1, NILES, MI 49120-2263
(269) 683-0800
(269) 683-7638
Mailing address
24 N SAINT JOSEPH AVE, SUITE C-1, NILES, MI 49120-2263
(269) 683-0800
(269) 683-7638
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
L1853937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1853937
STATE OF MICHIGAN DEPT OF COMMUNITY HEALTH LICENSE
MI
Enumeration date
10/26/2010
Last updated
10/26/2010
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