Individual
TERESE DIANE ALSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2225 MAIN ST SW STE 140, WYOMING, MI 49519-9697
(616) 538-8220
(616) 538-8991
Mailing address
2225 MAIN ST SW, STE 140, WYOMING, MI 49519-9697
(616) 538-8220
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000325
MI
Other
Enumeration date
06/26/2007
Last updated
11/28/2017
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