Healthcare Provider Details

I. General information

NPI: 1801911060
Provider Name (Legal Business Name): MARCON HEARING INSTRUMENTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 10TH AVE S SUITE 102
HOPKINS MN
55343-9402
US

IV. Provider business mailing address

32 10TH AVE S SUITE 102
HOPKINS MN
55343-9402
US

V. Phone/Fax

Practice location:
  • Phone: 952-938-5020
  • Fax: 952-930-0931
Mailing address:
  • Phone: 952-938-5020
  • Fax: 952-930-0931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number2527
License Number StateMN

VIII. Authorized Official

Name: MR. DALE J THORSTAD
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 952-938-5020