| NPI | 1821589656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA KRISTINE TOENSING Credentialing Manager 952-915-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-11-19 |