Individual
TRICIA M ITEN-MALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6173
(612) 630-8230
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5982
MN
Other
Enumeration date
07/12/2006
Last updated
03/11/2024
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