| NPI | 1861728271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP N HEISTAD Owner 715-627-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1182 060) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |