Tamara L Thelen AU.D., CCC-A

NPI 1902927007 - Audiologist - 231H00000X

NPI Details
NPI 1902927007
Gender Female
Enumeration Date 04/03/2007
Last Updated 04/26/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
100 MICHIGAN ST NE
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 391-2862
Fax
Business Location
4880 CASCADE RD SE
GRAND RAPIDS MI, 49546-3721, US
Phone (616) 954-9300
Fax
Toxanomy
Taxonomy Code 231H00000X
License State Michigan
License Number 1601000244
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According to our database, Tamara L Thelen AU.D., CCC-A NPI is 1902927007, taxonomy code is 231H00000X and license number is 1601000244, license state is located at Michigan. Tamara L Thelen AU.D., CCC-A physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Tamara L Thelen AU.D., CCC-A has the Individual type.

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1902927007 NPI number is provided on an as is basis without warranty of any kind. 1902927007 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara L Thelen AU.D., CCC-A are for informational purposes only.