Mary Disselkoen

Individual Active
NPI 1457596090
Audiologist Grand Rapids, MI

NPI 1457596090 belongs to Mary Disselkoen, an audiologist with a practice location in Grand Rapids, MI. The NPI was issued on December 11, 2008, and the record was last updated in NPPES on December 11, 2008. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2008. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist Primary 231H00000X 1601000230 (MI)
Assistive Technology Practitioner Audiologist 231HA2400X 1601000230 (MI)
Audiologist-Hearing Aid Fitter 237600000X 1601000230 (MI)

Practice location

1353 Van Auken St SE
Grand Rapids, MI 49508-2516
Phone: (616) 819-2685

Local context

Active NPPES records list 81 providers with audiologist as the primary taxonomy within 25 miles of this practice location's ZIP code, 73 of them within 10 miles.

The same primary taxonomy is listed by 832 in Michigan and 25,124 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Mary Disselkoen
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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