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Mary D Bolt, AuD

Audiologist in Lansing, MI. Individual provider (NPI-1).

NPI number1922011097
StatusActive
Last updated in NPPESMay 27, 2014

Details

NPI
1922011097
Entity type
Individual (NPI-1)
Name
Mary D Bolt
Credential
AuD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2006
Last updated
May 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist1601000086MIYes

Practice location

310 N Clippert St
Ste 4
Lansing, MI 48912-4694

Phone 517-332-1691 · Fax 517-324-0210

Mailing address

3945 Okemos Rd
Ste B1
Okemos, MI 48864-4207

Phone 517-349-0200 · Fax 517-349-3030

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