| NPI | 1073991543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE DIANE ROGSTAD Owner/Manager 715-831-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1285-60) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WI 30-156) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2021-08-24 |