Individual
DR. MARTHA SUE TAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5808 W 36TH ST, ST LOUIS PARK, MN 55416-5108
(952) 767-0672
Mailing address
3601 QUEBEC AVE S, ST LOUIS PARK, MN 55426-4023
(952) 935-8571
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8928
MN
Other
Enumeration date
05/29/2012
Last updated
12/04/2013
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