Individual
KATHERINE MACKENZIE FICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
0501
KY
231H00000X
Audiologist
Primary
1601001135
MI
237600000X
Audiologist-Hearing Aid Fitter
0980
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710125182
PASSPORT ADVANTAGE
KY
05
—
200941130
—
IN
01
—
50023223
PASSPORT
KY
Enumeration date
01/23/2009
Last updated
03/28/2024
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