Individual
TANYA JEAN GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHID
Contact information
Practice address
1312 7TH ST NW STE 104, ROCHESTER, MN 55901-3578
(507) 536-9002
Mailing address
1312 7TH ST NW STE 104, ROCHESTER, MN 55901-3578
(507) 536-9002
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2878
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2878
CERTIFIED HEARING INSTRUMENT DISPENSER
MN
Enumeration date
02/27/2020
Last updated
02/27/2020
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