Mrs. Mary Disselkoen
Mrs. Mary Disselkoen is an Audiologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.
- Licensed in
- MI
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
1353 Van Auken St SEGrand Rapids, MI 49508-2516
Phone: (616) 819-2685
Fax: (616) 819-2684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence 1601000230 (MI) |
|---|---|
| Assistive Technology Practitioner Audiologist | Taxonomy 231HA2400X · Licence 1601000230 (MI) |
| Audiologist-Hearing Aid Fitter | Taxonomy 237600000X · Licence 1601000230 (MI) |
Record details
| NPI number | 1457596090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 11, 2008 |
| Last updated in NPPES | December 11, 2008 |
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