Organization
AVADA AUDIOLOGY AND HEARING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA HAEUSER (HIS)
(262) 514-4322
Entity
Organization
Contact information
Practice address
813 FOX LANE SUITE B, WATERFORD, WI 53404
(262) 514-4322
Mailing address
813 FOX LN, WATERFORD, WI 53185-4511
(262) 514-4322
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
143860
WI
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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