Individual
MRS. JENNIFER MADDEN DAUTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1225 E COOLSPRING AVE STE 300, MICHIGAN CITY, IN 46360-6312
(219) 873-2992
(219) 878-5052
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002404A
IN
Other
Enumeration date
12/08/2006
Last updated
05/03/2023
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