Individual
MRS. TRACY CHAPIN VIRTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC A
Contact information
Practice address
1445 SHELDON RD, HARBOR DUNES MEDICAL CENTER, SUITE 304, GRAND HAVEN, MI 49417-2480
(616) 935-6966
(616) 935-6967
Mailing address
418 ISLAND VIEW DR, HOLLAND, MI 49424-6098
(616) 738-7412
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000328
MI
Other
Enumeration date
03/22/2007
Last updated
03/25/2010
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