Individual
JODY MEDVEDIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-A
Contact information
Practice address
120 N WASHINGTON SQ OFC 378, LANSING, MI 48933-1617
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD STE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000358
MI
231H00000X
Audiologist
A.02414
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640H224420
BCBSM NUMBER
MI
05
—
804741233
—
MI
Enumeration date
04/04/2007
Last updated
11/16/2022
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