| NPI | 1710443445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA EIFRIG RAUTH Dir, Contracting & Credentialing 952-947-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |