NPI 1497917454
Randall C. Flacksbarth, HIS
Practice location
- Address
- 2345 Fairview Ave N, Roseville, MN 55113-2724
- Phone
- (651) 633-4642
- Fax
- (651) 633-4643
- Mailing address
- 215 Shuman Blvd STE 401, Naperville, IL 60563-8123
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1497917454
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Jun 2008
- Record last updated
- 10 Nov 2017
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.