Northland Audiology LLC
Audiologist in Clear Lake, WI. Organization (NPI-2).
NPI number1831908292
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1831908292
- Entity type
- Organization (NPI-2)
- Legal business name
- Northland Audiology LLC
- Organization subpart
- No
- Enumeration date
- Dec 31, 2024
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | – | – | Yes |
Practice location
370 3rd AveClear Lake, WI 54005
Phone 715-641-2526
Mailing address
179 3rd AveClayton, WI 54004-8927
Authorized official
Samuel Schultz
Owner
7159772236
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