Individual
CYNTHIA ANNE KONTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4579 32 MILE RD, BRUCE TWP, MI 48065-4101
(586) 242-2279
Mailing address
4579 32 MILE RD, BRUCE TWP, MI 48065-4101
(586) 242-2279
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501003428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3501003428
HEARING AID DEALERS LIC
MI
01
—
540E016040
BC & BS PIN
MI
05
—
904678837
—
MI
Enumeration date
04/11/2008
Last updated
07/31/2015
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