Megan Justine Gustavson, AUD | |
6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | |
(616) 988-4327 | |
Not Available |
Full Name | Megan Justine Gustavson |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 6140 28th St Se Ste 205, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073143210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 1601000863 (Michigan) | Primary |
Provider Name | Grand Rapids Ear Nose & Throat Center Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124052337 PECOS PAC ID: 0547332751 Enrollment ID: O20080703000320 |
Mailing Address | Practice Location Address |
---|---|
Megan Justine Gustavson, AUD 8975 W. Parmalee Rd, Middleville, MI 49333 Ph: (616) 635-0111 | Megan Justine Gustavson, AUD 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 Ph: (616) 988-4327 |
Hannah Rae Chase, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546 Phone: 616-267-7758 | |
Dr. Nicholas James Liimatta, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3019 Coit Ave Ne, Grand Rapids, MI 49505 Phone: 269-966-5600 | |
Cameron Katkic, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546 Phone: 616-267-7758 | |
Dr. Emily Dianne Brandner, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8005 | |
Lauren Jackson, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 655 Kenmoor Ave Se, Ste A, Grand Rapids, MI 49546 Phone: 616-575-1212 | |
Amanda Hamilton, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 901 Gezon Pkwy Sw Ste A, Grand Rapids, MI 49509 Phone: 616-530-8883 Fax: 616-530-8997 |