Organization
HEARING CARE BY GINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA KONTZ M.A. (AUDIOLOGIST)
(320) 321-1551
Entity
Organization
Contact information
Practice address
408 N 1ST ST STE 2, MONTEVIDEO, MN 56265
(320) 321-1551
Mailing address
408 N 1ST ST STE 2, MONTEVIDEO, MN 56265-4551
(320) 321-1551
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6279
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6279
AUDIOLOGY LICENSE
MN
Enumeration date
08/15/2018
Last updated
08/30/2018
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