| |
1000 E Sturgis St Ste 8, Saint Johns, MI 48879-2068 | |
(989) 534-2020 | |
(989) 534-2684 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 1000 E Sturgis St Ste 8, Saint Johns, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629595806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 1601000194 (* (Not Available)) | Primary |
231HA2500X | Audiologist - Assistive Technology Supplier | 1601000194 (Michigan) | Secondary |
Mailing Address | Practice Location Address |
---|---|
1000 E Sturgis St Ste 8, Saint Johns, MI 48879-2068 Ph: (989) 534-2020 | 1000 E Sturgis St Ste 8, Saint Johns, MI 48879-2068 Ph: (989) 534-2020 |
Sara L Shogren-holcomb, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1000 E Sturgis St Ste 8, Saint Johns, MI 48879 Phone: 989-534-2020 Fax: 989-534-2684 |