Organization
JKA5 MAPLE GROVE INC
Active
Other names
Amdahl Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN AMDAHL (OWNER)
(320) 252-0094
Entity
Organization
Contact information
Practice address
7270 FORESTVIEW LN N, 225, MAPLE GROVE, MN 55369-5546
(320) 252-0094
Mailing address
2848 2ND ST S STE 185, SAINT CLOUD, MN 56301-3708
(320) 252-0094
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
04/02/2025
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