Organization
MICHIGAN OTOLARYNGOLGY SURGERY
Active
Organization
MICHIGAN OTOLARYNGOLGY SURGERY
Active
Other names
Mosa Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL W STUTZ AUD (DIRECTOR OF AUDIOLOGY)
(800) 851-6672
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE 2017, YPSILANTI, MI 48197-1014
(800) 851-6672
(734) 712-3358
Mailing address
5333 MCAULEY DR, SUITE 2017, YPSILANTI, MI 48197-1014
(800) 851-6672
(734) 712-3358
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H16076
MI BCN
MI
01
—
108202
CARE CHOICES
MI
01
—
540H110290
BLUE CROSS DISPENSING
MI
01
—
640H110290
BLUE CROSS HEARING&VISION
MI
01
—
B6940
MCARE
MA
Enumeration date
10/16/2006
Last updated
08/14/2014
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