Organization
WISCONSIN HEARING AID CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM PETERSON HIS (PRESIDENT)
(414) 272-1466
Entity
Organization
Contact information
Practice address
823 N 2ND ST, SUITE 213, MILWAUKEE, WI 53203-1818
(414) 272-1466
(414) 272-1467
Mailing address
823 N 2ND ST, SUITE 213, MILWAUKEE, WI 53203-1818
(414) 272-1466
(414) 272-1467
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
332S00000X
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42821400
—
WI
Enumeration date
08/25/2005
Last updated
05/08/2014
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