| |
1155 E Sherman Blvd, Norton Shores, MI 49444-1809 | |
(231) 737-0527 | |
(231) 733-4093 |
Full Name | |
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Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 1155 E Sherman Blvd, Norton Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669872453 | NPI | - | NPPES |
Provider Name | Kimberly R Tullock |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1508036989 PECOS PAC ID: 3678620945 Enrollment ID: I20090403000025 |
Mailing Address | Practice Location Address |
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35 Waterview Blvd Ste 305, Parsippany, NJ 07054-7604 Ph: (973) 588-7266 | 1155 E Sherman Blvd, Norton Shores, MI 49444-1809 Ph: (231) 737-0527 |