Organization
SUBURBAN HEARING CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM KETTLEWELL (PRESIDENT)
(248) 845-4714
Entity
Organization
Contact information
Practice address
20 W CLARKSTON RD, LAKE ORION, MI 48362-2972
(248) 845-4714
(248) 282-4280
Mailing address
20 W CLARKSTON RD, LAKE ORION, MI 48362-2972
(248) 845-4714
(248) 282-4280
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
3501005129
MI
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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