Individual
KEITH TELENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HA DISP
Contact information
Practice address
1929 N WASHINGTON ST, BISMARCK, ND 58501-1616
(701) 323-6000
(701) 323-5709
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
H0055
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51634
—
ND
Enumeration date
10/19/2006
Last updated
07/08/2007
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