Organization
MIDWEST ANCILLARY SERVICES, INC
Active
Other names
Midwest Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BENUSA (CEO)
(651) 632-9701
Entity
Organization
Contact information
Practice address
217 RADIO DR, WOODBURY, MN 55125-5805
(651) 702-0750
(651) 645-6166
Mailing address
215 RADIO DR STE 202, WOODBURY, MN 55125-5822
(651) 702-0750
(651) 645-6166
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
207Y00000X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005210800
—
MN
Enumeration date
10/13/2006
Last updated
11/20/2025
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