Audiololgy Hearing Clinic Of Mequon Llc

NPI 1194053751 - Clinic/Center - 261QH0700X

NPI Details
NPI 1194053751
Enumeration Date 11/19/2009
Last Updated 11/19/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEPHAN B. STEPHAN
Position DOCTOR OF AUDIOLOGY
Phone (262) 241-3144
Fax (262) 241-3186
Practice Location
11649 N PORT WASHINGTON RD
SUITE 105
MEQUON WI, 53092-3460, US
Phone (262) 241-3144
Fax (262) 241-3186
Business Location
11649 N PORT WASHINGTON RD
SUITE 105
MEQUON WI, 53092-3460, US
Phone (262) 241-3144
Fax (262) 241-3186
Toxanomy
Taxonomy Code 261QH0700X
License State Wisconsin
License Number 41-156
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According to our database, Audiololgy Hearing Clinic Of Mequon Llc NPI is 1194053751, taxonomy code is 261QH0700X and license number is 41-156, license state is located at Wisconsin. Audiololgy Hearing Clinic Of Mequon Llc physically located at 11649 N Port Washington Rd, Mequon WI, 53092-3460. NPI Number 1033115704 has the healthcare provider type.

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1194053751 NPI number is provided on an as is basis without warranty of any kind. 1194053751 is maintained by the National Plan & Provider Enumeration System. The contents of Audiololgy Hearing Clinic Of Mequon Llc are for informational purposes only.