Doctor Name: | GEORGE M IWANOW |
NPI Number: | 1780851592 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3501000203 |
Business Practice Address: | 19991 Hall Rd Ste 102 Macomb, MI - 480444254 |
Business Phone Number: | 5862634401 |
Business Fax Number: | 5862634402 |
Mailing Address: | 19991 Hall Rd, Ste 102 MACOMB |
State: | MI |
Postal Code: | 480444254 |
Phone Number: | 5862634401 |
Fax Number: | 5862634402 |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 3501000203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |