| NPI | 1609145747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA KRISTINE TOENSING Credentialing Manager 952-915-6255 |
| 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 | 2018-11-19 |