Organization
NORTHLAND HEARING CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PEDREGUERA (CREDENTIALING SPECIALIST)
(952) 947-4602
Entity
Organization
Contact information
Practice address
2149 DEL RIO BLVD STE 207, EAGLE PASS, TX 78852-3487
(830) 773-7300
(830) 773-1777
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
06/06/2016
Last updated
12/30/2019
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