Healthcare Provider Details

I. General information

NPI: 1336757129
Provider Name (Legal Business Name): GUZA HEARING ENHANCEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2020
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E MAIN ST
MARSHALL MN
56258-2573
US

IV. Provider business mailing address

3856 170TH AVE
MINNEOTA MN
56264-1112
US

V. Phone/Fax

Practice location:
  • Phone: 507-532-1024
  • Fax:
Mailing address:
  • Phone: 507-829-9489
  • Fax: 507-532-7295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: ROD JOHN GUZA
Title or Position: OWNER
Credential: BC-HIS
Phone: 507-829-9489