| NPI | 1902354582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MONSON Cred Specialist 952-941-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-05-09 |