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Individual

GINA LOUISE KONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
408 N 1ST ST STE 2, MONTEVIDEO, MN 56265
(320) 321-1551
(320) 321-1552
Mailing address
408 N 1ST ST STE 2, MONTEVIDEO, MN 56265-4551
(320) 321-1551
(320) 321-1552

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
6279
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031021002
MN
01
09339WI
BCBS PROVIDER NUMBER
MN
01
1024676
PREFERRED ONE PROV. NUMBE
MN
05
117072
MN
01
39P72WI
GINA'S TESTING FOR BCBS
MN
01
41-1603792001
TRICARE WEST PROV. NUMBER
MN
01
45-00108
MEDICA PROVIDER NUMBER
MN
01
4500108
UNITED HEALTH CARE PROV #
MN
05
568819100
MN
05
5832630
SD
Enumeration date
06/22/2005
Last updated
08/30/2018
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