| NPI | 1356790802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PEDREGUERA Credentialing Specialist 952-947-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2019-12-30 |