| NPI | 1023412251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WIGAND Owner 855-259-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2017-03-30 |