NPI 1003216425
Zudac Enterprise
Practice location
- Address
- 1310 Highway 96 E 204c, White Bear Lake, MN 55110-3624
- Phone
- (651) 429-6072
- Mailing address
- 927 Riders Club Rd, Onalaska, WI 54650-2041
Authorised official
- Name
- Robert James Breault
- Title
- Hearing Instrument Dispenser
- Phone
- (651) 354-5906
Registered specialties (2)
Hearing Instrument Specialist
Primary
Hearing Instrument Specialist
Registry record
- NPI
- 1003216425
- Entity type
- Organization
- NPI issued
- 4 Sep 2014
- Record last updated
- 4 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.