Whalio Doctors

NPI 1003216425

Zudac Enterprise

Organisation Hearing Instrument Specialist White Bear Lake, MN

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
Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 2742 (MN)
Hearing Instrument Specialist
Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 1404 (WI)

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.