Individual
MR. DAVID A. PRAHL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHID
Contact information
Practice address
8990 SPRINGBROOK DR NW STE 255, COON RAPIDS, MN 55433-5880
(763) 755-0690
Mailing address
15966 QUAPAW ST NW, ANDOVER, MN 55304-2223
(612) 419-3149
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2633
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633
STATE LICENSE
MN
Enumeration date
09/20/2021
Last updated
09/20/2021
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