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Organization

DOWNRIVER ENT, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY HOLLISTER (DOCTOR OF AUDIOLOGY)
(313) 381-4911
Entity
Organization

Contact information

Practice address
14575 SOUTHFIELD RD, ALLEN PARK, MI 48101-2640
(313) 381-4911
(313) 381-8790
Mailing address
14575 SOUTHFIELD RD, ALLEN PARK, MI 48101-2640
(313) 381-4911
(313) 381-8790

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000351
MI

Other

Enumeration date
02/16/2010
Last updated
02/16/2010
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