| NPI | 1922542919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE BRAKKE Audiologist 701-430-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: ND 989) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-28 |