Provider Demographics
NPI:1275781684
Name:MICHIGAN HEARING DOCTORS, P.C.
Entity Type:Organization
Organization Name:MICHIGAN HEARING DOCTORS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEREDITH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:734-718-0114
Mailing Address - Street 1:48299 GREENWICH LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-8305
Mailing Address - Country:US
Mailing Address - Phone:734-718-0114
Mailing Address - Fax:
Practice Address - Street 1:48299 GREENWICH LN
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-8305
Practice Address - Country:US
Practice Address - Phone:734-718-0114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000432231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty