Organization
NORTHLAND HEARING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA KRISTINE TOENSING (CREDENTIALING MANAGER)
(952) 915-6255
Entity
Organization
Contact information
Practice address
3090 N LITCHFIELD RD STE 120, GOODYEAR, AZ 85395-9214
(602) 863-4203
(602) 863-4216
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
05/16/2018
Last updated
10/15/2018
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