Individual
MRS. JAN STORHAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S., CCC-A
Contact information
Practice address
11210 WAYZATA BLVD STE D, MINNETONKA, MN 55305-2058
(952) 746-3011
(952) 746-3012
Mailing address
11210 WAYZATA BLVD STE D, MINNETONKA, MN 55305-2058
(952) 746-3011
(952) 746-3012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7456
STATE LICENSED AUDIOLOGIST
MN
Enumeration date
09/17/2008
Last updated
09/23/2008
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