Organization
CUSTOM HEARING CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WILLIAM GOFF MACCCA (AUDIOLOGIST)
(248) 474-8161
Entity
Organization
Contact information
Practice address
25882 ORCHARD LAKE RD, SUITE 103, FARMINGTON HILLS, MI 48336-1292
(248) 474-8161
(248) 474-2966
Mailing address
25882 ORCHARD LAKE RD, SUITE 103, FARMINGTON HILLS, MI 48336-1292
(248) 474-8161
(248) 474-2966
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000305
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2609400
—
MI
Enumeration date
03/15/2007
Last updated
08/22/2020
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