| |
29670 S Wixom Rd, Wixom, MI 48393-3430 | |
(248) 438-6725 | |
(248) 438-6771 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 29670 S Wixom Rd, Wixom, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639527245 | NPI | - | NPPES |
M83950006 | Other | MI | MEDICARE ID: M83950006 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 1601000685 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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29670 S Wixom Rd, Wixom, MI 48393-3430 Ph: (248) 438-6725 | 29670 S Wixom Rd, Wixom, MI 48393-3430 Ph: (248) 438-6725 |
Dr. Timothy John Needham, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 29670 S Wixom Rd, Wixom, MI 48393 Phone: 248-438-6725 Fax: 248-438-6771 |