Individual
MARIAH LEE GRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1200 E MICHIGAN AVE STE 330, LANSING, MI 48912-1894
(517) 364-5678
Mailing address
1200 E MICHIGAN AVE STE 330, LANSING, MI 48912-1894
(517) 364-5678
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601001091
MI
Other
Enumeration date
12/28/2022
Last updated
01/19/2023
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