Organization
WISCONSIN HEARING AID CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM PETERSON H.I.S. (PRESIDENT - CEO)
(414) 463-0200
Entity
Organization
Contact information
Practice address
9211 W CAPITOL DR, MILWAUKEE, WI 53222-1532
(414) 463-0200
(414) 272-1467
Mailing address
9211 W CAPITOL DR, MILWAUKEE, WI 53222-1532
(414) 463-0200
(414) 272-1467
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42821400
—
WI
Enumeration date
04/11/2007
Last updated
08/22/2020
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