Organization
ADVANCED AUDIOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DANIELLE BONT MA CCC-A (AUDIOLOGIST / OWNER)
(810) 388-9400
Entity
Organization
Contact information
Practice address
3158 GRATIOT BLVD, MARYSVILLE, MI 48040-1488
(810) 388-9400
(810) 388-9434
Mailing address
3158 GRATIOT BLVD, MARYSVILLE, MI 48040-1488
(810) 388-9400
(810) 388-9434
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000490
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01107
MICHIGAN BCBS
—
Enumeration date
03/19/2010
Last updated
12/16/2010
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