MEDICARE: HEIDI SCHOLLA

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	237700000X	Hearing Instrument Specialist	2901	MN

General Provider Information

NPI Number	:	1588388086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI SCHOLLA

Provider Business Mailing Address
First Line	:	6700 WASHINGTON AVE S
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7738 OLSON MEMORIAL HWY
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55427-4708
Country	:	US
Telephone Number	:	763-545-8193
Fax Number	:

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

Provider Enumeration Date	:	09/28/2022
Last Update Date	:	09/28/2022

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Directions to “ HEIDI SCHOLLA ” Practice Location

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