Mary Disselkoen

NPI 1457596090 · on the registry since 2008

Practice

Address: 1353 Van Auken St Se
Grand Rapids, MI 49508
Phone: (616) 819-2685
Fax: (616) 819-2684

Registry record

Primary taxonomy: Audiologist
231H00000X
Also registered as: Assistive Technology Practitioner Audiologist
Audiologist-Hearing Aid Fitter
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan