| |
391 Garden Ave, Holland, MI 49424-9602 | |
(616) 218-0347 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Audiologist - Assistive Technology Practitioner |
Location | 391 Garden Ave, Holland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295950145 | NPI | - | NPPES |
4729720 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231HA2400X | Audiologist - Assistive Technology Practitioner | (Michigan) | Primary |
Provider Name | Karen L Van Doorne |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1942271614 PECOS PAC ID: 0941191464 Enrollment ID: I20040330001507 |
Provider Name | Macenzie Koning |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1548797244 PECOS PAC ID: 5092085779 Enrollment ID: I20170728001245 |
Provider Name | Craig Andrew Kadrich |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1407532641 PECOS PAC ID: 9739535170 Enrollment ID: I20231021000413 |
Mailing Address | Practice Location Address |
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391 Garden Ave, Holland, MI 49424-9602 Ph: (616) 218-0347 | 391 Garden Ave, Holland, MI 49424-9602 Ph: (616) 218-0347 |
Dr. Monica Anne Fountain, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13565 Port Sheldon St, Holland, MI 49424 Phone: 616-738-8940 | |
Mrs. Valerie Z Wait, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 577 Michigan Ave, Suite 101, Holland, MI 49423 Phone: 616-393-2190 Fax: 616-393-0147 | |
Kimberly Sue Schewe, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 3100 N Wellness Dr, Holland, MI 49424 Phone: 616-994-2770 | |
Erica L Mandrick, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3100 N. Wellness Dr, Holland, MI 49424 Phone: 616-994-2770 Fax: 616-920-6533 |