Organization
SAGINAW VALLEY HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY HARE PHD (PRESIDENT)
(989) 799-1611
Entity
Organization
Contact information
Practice address
3175 CHRISTY WAY, SAGINAW, MI 48603
(989) 799-1611
(989) 799-1622
Mailing address
3175 CHRISTY WAY, SAGINAW, MI 48603
(989) 799-1611
(989) 799-1622
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123867
GREAT LAKES
—
01
—
3048554
MOLINA 90 CODE
—
01
—
5018429
MOLINA 80 CODE
—
01
—
640G32681
HP
—
01
—
640G37631
BCBS
—
Enumeration date
08/15/2006
Last updated
08/22/2020
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