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NPI Code Detail

MEDICARE: LINDA S GRONG AUD

MEDICARE:   LINDA S GRONG  AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist5026MN
2237700000XHearing Instrument Specialist5026MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19G051GROTHERMNBCBSMN
238507HEOTHERMNBCBSMN
39G276HEOTHERMNBCBSMN
4115946OTHERMNUCARE
520243OTHERMNSOIUX VALLEY HEALTH PLAN

General Provider Information

NPI Number : 1124017371
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA S GRONG AUD
Provider Business Mailing Address
First Line : 300 S BRUCE ST
Second Line :
City : MARSHALL
State : MN
Zip : 56258-1934
Country : US
Telephone Number : 507-532-2687
Fax Number : 507-537-9190
Provider Business Practice Location Address
First Line : 300 S BRUCE ST
Second Line :
City : MARSHALL
State : MN
Zip : 56258-1934
Country : US
Telephone Number : 507-532-2687
Fax Number : 507-537-9190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 09/11/2025

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Directions to “ LINDA S GRONG AUD” Practice Location

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