| NPI | 1902476013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLYNN MURPHY Lead Billing Specialist 763-268-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |