MRS. MARY DISSELKOEN

Audiologist

Active Individual
NPI: 1457596090

Practice Address

1353 VAN AUKEN ST SE
Grand Rapids, MI 49508

Phone: (616) 819-2685

Specialties

Specialty Code Primary License
Audiologist 231H00000X Yes 1601000230 (MI)
Audiologist - Assistive Technology Practitioner 231HA2400X No 1601000230 (MI)
Audiologist-Hearing Aid Fitter 237600000X No 1601000230 (MI)

Frequently Asked Questions

NPI 1457596090 is the National Provider Identifier for MRS. MARY DISSELKOEN, a Audiologist provider located in Grand Rapids, MI. This NPI was enumerated on December 11, 2008.
MRS. MARY DISSELKOEN practices at 1353 VAN AUKEN ST SE, Grand Rapids, MI 49508.

Quick Facts

NPI
1457596090
Type
Individual
Enumerated
Dec 11, 2008
Last Updated
Dec 11, 2008

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