MEDICARE: BELINDA D MCCURRY AU.D.

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
1	231H00000X	Audiologist	8654	MN
2	237600000X	Audiologist-Hearing Aid Fitter	8654	MN

General Provider Information

NPI Number	:	1528336161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA D MCCURRY AU.D.

Provider Business Mailing Address
First Line	:	1068 LAKE ST S STE 108
Second Line	:
City	:	FOREST LAKE
State	:	MN
Zip	:	55025-2633
Country	:	US
Telephone Number	:	651-464-8486
Fax Number	:

Provider Business Practice Location Address
First Line	:	1068 LAKE ST S STE 108
Second Line	:
City	:	FOREST LAKE
State	:	MN
Zip	:	55025-2633
Country	:	US
Telephone Number	:	651-464-8486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2011
Last Update Date	:	12/10/2011

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