| NPI | 1144585183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DEAN WALES Owner/Healthcare Provider 320-762-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2034) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |