Individual
TARA HAEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113-1352
(651) 638-9981
Mailing address
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113-1352
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9444
MN
Other
Enumeration date
02/29/2016
Last updated
08/04/2026
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