Organization
MIRACLE EAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M D'AMICO (CREDENTIALING SPECIALIST)
(888) 333-9152
Entity
Organization
Contact information
Practice address
4330 CZECH LN NE, SUITE A4, CEDAR RAPIDS, IA 52402-2334
(319) 378-8077
(319) 378-8078
Mailing address
5000 CHESHIRE LN N, PLYMOUTH, MN 55446-3706
(888) 333-9152
(763) 268-4240
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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