| NPI | 1013654003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY VON COLLN Office Manager 605-415-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |