Individual
KATHRYN M BAZZETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1126 S GARFIELD AVE, TRAVERSE CITY, MI 49686
(231) 946-5451
Mailing address
1126 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4352
(231) 946-5451
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F399670
BCBSM GROUP PIN
MI
Enumeration date
10/17/2014
Last updated
10/08/2019
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