Healthcare Provider Details

I. General information

NPI: 1104191360
Provider Name (Legal Business Name): HEARING ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4905 MATTERHORN DR
DULUTH MN
55811-3851
US

IV. Provider business mailing address

303 SE 1ST ST
GRAND RAPIDS MN
55744-3601
US

V. Phone/Fax

Practice location:
  • Phone: 218-723-7880
  • Fax: 218-723-8208
Mailing address:
  • Phone: 218-326-6018
  • Fax: 218-326-5526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number5119
License Number StateMN

VIII. Authorized Official

Name: MR. JOHN H VOSS
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 218-723-7880