| NPI | 1710413547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEYENDECKER Owner 952-831-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-07-18 |