| NPI | 1245509389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MONSON Cred Specialist 952-941-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2024-05-09 |