Individual
MELISSA ANN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
1000 E PARIS AVE SE, SUITE 230, GRAND RAPIDS, MI 49546-3691
(616) 942-1660
(616) 942-5796
Mailing address
2225 MAIN ST SW, STE 140, WYOMING, MI 49519-9697
(616) 942-1660
(616) 942-5796
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952320723
—
MI
Enumeration date
07/19/2006
Last updated
11/29/2016
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