Organization
HEARING & BALANCE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH SULLIVAN AU.D. (OWNER)
(612) 293-7816
Entity
Organization
Contact information
Practice address
6813 MORGAN AVE S, RICHFIELD, MN 55423-2113
(612) 293-7816
Mailing address
6813 MORGAN AVE S, RICHFIELD, MN 55423-2113
(612) 293-7816
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8481
MN
Other
Enumeration date
06/01/2010
Last updated
12/10/2015
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