Individual
BRIAN SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
6425 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-3305
(800) 328-8602
Mailing address
1141 ATWOOD ST S, SHAKOPEE, MN 55379-2499
(612) 619-1543
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2600
MN
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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