Phillip Norman Heistad Valid NPI

Individual provider · Audiologist-Hearing Aid Fitter · White Lake, WI

NPI

1134493067

Type

Individual (Type 1)

Primary specialty

Audiologist-Hearing Aid Fitter

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

237600000X

License number

237700000X (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-02-23

Last updated

2012-02-23