Healthcare Provider Details

I. General information

NPI: 1841745007
Provider Name (Legal Business Name): ERIN KOEHMSTEDT AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 37TH AVE SW
MINOT ND
58701-7339
US

IV. Provider business mailing address

1400 37TH AVE SW
MINOT ND
58701-7339
US

V. Phone/Fax

Practice location:
  • Phone: 701-852-6565
  • Fax: 701-838-9381
Mailing address:
  • Phone: 701-852-6565
  • Fax: 701-838-9381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: