Individual
HIEP NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3021 HARBOR LN N STE 212, PLYMOUTH, MN 55447-5120
(763) 367-6012
(866) 909-9372
Mailing address
3021 HARBOR LN N STE 212, PLYMOUTH, MN 55447-5120
(763) 367-6012
(866) 909-9372
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2682
MN
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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