Whalio Doctors

NPI 1497917454

Randall C. Flacksbarth, HIS

Practitioner Hearing Instrument Specialist Roseville, MN

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
Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 2629 (MN)

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.