| NPI | 1699059519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ANN KLEIN Manager Of Third Party Programs 952-999-5529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-05-09 |