Organization
HEARING WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN P GERVAIS AU.D. (AUDIOLOGIST)
(218) 623-1045
Entity
Organization
Contact information
Practice address
1525 LONDON RD, DULUTH, MN 55812-1617
(218) 623-1045
(218) 724-1096
Mailing address
1525 LONDON RD, DULUTH, MN 55812-1617
(218) 623-1045
(218) 724-1096
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6443
MN
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
05/29/2012
Last updated
05/19/2020
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