Healthcare Provider Details

I. General information

NPI: 1346301520
Provider Name (Legal Business Name): MINNESOTA HEARING AID PROFESSIONALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 PARK AVE S
MINNEAPOLIS MN
55404-3711
US

IV. Provider business mailing address

2211 PARK AVE S
MINNEAPOLIS MN
55404-3711
US

V. Phone/Fax

Practice location:
  • Phone: 612-871-2445
  • Fax: 612-813-3882
Mailing address:
  • Phone: 612-871-2445
  • Fax: 612-813-3882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: SANDY L GERGER
Title or Position: OFFICE MANAGER
Credential:
Phone: 612-871-2445