| |
6545 France Ave S, 201, Edina, MN 55435-2131 | |
(952) 922-2408 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Hearing Instrument Specialist |
Location | 6545 France Ave S, Edina, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346462538 | NPI | - | NPPES |
86G47SO | Other | MN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 7170 (Minnesota) | Primary |
237700000X | Hearing Instrument Specialist | 7170 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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5730 Dumas Ave, Minnetonka, MN 55345-5108 Ph: (952) 922-2408 | 6545 France Ave S, 201, Edina, MN 55435-2131 Ph: (952) 922-2408 |