Organization
GREAT LAKES PROVIDER NETWORK, LLC
Active
Parent organization
AUDIONET AMERICA HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUDIONET AMERICA HOLDINGS INC
Authorized official
MRS. COLLEEN SHEFFERLY (PRESIDENT)
(586) 944-0043
Entity
Organization
Contact information
Practice address
33900 HARPER AVE STE A101, CLINTON TOWNSHIP, MI 48035-4258
(586) 359-2649
(844) 522-5038
Mailing address
33900 HARPER AVE STE A101, CLINTON TOWNSHIP, MI 48035-4258
(586) 359-2649
(844) 522-5038
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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