Individual
MS. MONICA MARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS,ACA
Contact information
Practice address
7017 S WESTNEDGE AVE, PORTAGE, MI 49002-4206
(269) 342-0810
Mailing address
7017 S WESTNEDGE AVE, PORTAGE, MI 49002-4206
(269) 342-0810
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501002374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689694622
—
MI
01
—
640Z911880
BCBS MICHIGAN
MI
Enumeration date
07/20/2006
Last updated
01/28/2016
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