| NPI | 1861897753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JACKSON Managing Director 612-817-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2022-06-23 |