Individual
GREGORY DEAN WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HID
Contact information
Practice address
1501 BROADWAY ST, SUITE#1, ALEXANDRIA, MN 56308-2537
(320) 762-2505
(320) 763-9010
Mailing address
1501 BROADWAY, SUITE#1, ALEXANDRIA, MN 56308
(320) 762-2505
(320) 763-9010
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2034
MN
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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