NPI 1134493067

Phillip Norman Heistad

Practitioner Audiologist-Hearing Aid Fitter White Lake, WI

Practice location

Address: 1226 Lake St, White Lake, WI 54491-9750
Phone: (715) 882-8107

Registered specialties

Audiologist-Hearing Aid Fitter Primary

Speech, Language and Hearing Service Providers Taxonomy 237600000X Licence 237700000X (WI)

Other Audiologist-Hearing Aid Fitter providers in Wisconsin →

Registry record

NPI: 1134493067
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2012
Record last updated: 23 Feb 2012

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.