Organization
AUDIOLOGISTS HEARING CENTER, INC.
Active
Organization
AUDIOLOGISTS HEARING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE L BROWN M.A. (AUDIOLOGIST, BUSINESS PARTNER)
(952) 285-1419
Entity
Organization
Contact information
Practice address
6550 YORK AVE S, SUITE 305, EDINA, MN 55435-2347
(952) 285-1419
(925) 285-1426
Mailing address
825 NICOLLET MALL, SUITE 1720, MINNEAPOLIS, MN 55402-2606
(612) 339-4532
(612) 993-7241
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
5083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02634
MEDICARE PROVIDER #
—
01
—
C02635
MEDICARE PROVIDER #
MN
Enumeration date
12/12/2007
Last updated
12/12/2007
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