| NPI | 1326340019 |
|---|---|
| Doing Business As | MIRACLE-EAR |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY V VOTAVA Owner 763-421-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MN 2512) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |