Most Relevant Information
Provider Data
| NPI Number: | 1003362005 |
| Provider Name: | MARY KASSA AU.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 1601000733 |
Most Important Dates
| Enumeration Date: | 08/30/2016 |
| Last Updated: | 08/30/2016 |
Provider Practice Location
2799 W GRAND BLVD
K8
DETROIT
MI
482022608
Practice Location Phone/Fax
| Phone: | 3139161755 |
| Fax: |
Provider Mailing Location
2799 W. GRAND BLVD.
K8
DETROIT
MI
48202
Provider Mailing Phone/Fax
| Phone: | 3139161755 |
| Fax: |