| NPI | 1780837302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DARLENE NELSON Audiologist 218-454-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 7579) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MN 7579) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2017-12-06 |