Audiololgy Hearing Clinic of Mequon LLC

Organization Active NPI Hearing and Speech Clinic/Center · Mequon, WI

NPI 1194053751 · NPPES record last updated Nov 19, 2009

Key facts

NPI
1194053751
Entity type
Organization (NPI type 2)
Primary specialty
Hearing and Speech Clinic/Center 261QH0700X
License
41-156 (WI)
Legal business name
AUDIOLOLGY HEARING CLINIC OF MEQUON LLC
Practice address
11649 N Port Washington Rd
Suite 105
Mequon, WI 53092-3460
Phone
(262) 241-3144
Fax
(262) 241-3186
NPI assigned
Nov 19, 2009
Organization subpart
No

Authorized official

Name
Dr. Stephan B. Ryan, AU.D.
Title
Doctor of Audiology
Phone
(262) 241-3144

National Provider Directory

Locations

11649 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-3144

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 41-156 WI Yes

Addresses

Primary practice location

11649 N Port Washington Rd
Suite 105
Mequon, WI 53092-3460

Mailing address

11649 N Port Washington Rd
Suite 105
Mequon, WI 53092-3460
Phone (262) 241-3144

Other providers in Mequon, WI

All providers in Mequon, WI · Hearing and Speech Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.