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Individual

MR. STEVEN J. CHARGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, CCC, AUDIOLOGIST

Contact information

Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 744-1190
(763) 744-0547
Mailing address
3025 HARBOR LN N, SUITE 105, PLYMOUTH, MN 55447-5119
(763) 744-1190
(763) 744-0547

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5417
MN
231HA2400X
Assistive Technology Practitioner Audiologist
5417
MN
231HA2500X
Assistive Technology Supplier Audiologist
5417
MN
237600000X
Audiologist-Hearing Aid Fitter
5417
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
077708100
MN
Enumeration date
09/21/2007
Last updated
03/13/2018
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