Individual
MRS. GYL A. KASEWURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, FAAA
Contact information
Practice address
511 RENAISSANCE DR, STE 100, SAINT JOSEPH, MI 49085-2180
(269) 982-3444
(269) 982-3445
Mailing address
511 RENAISSANCE DR, STE 100, SAINT JOSEPH, MI 49085-2180
(269) 982-3444
(269) 982-3445
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804989111
—
MI
05
—
901870694
—
MI
Enumeration date
06/09/2005
Last updated
10/12/2011
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