| NPI | 1629568548 |
|---|---|
| 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 | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-10-15 |