Phillip Norman Heistad
NPI #1134493067 in White Lake, Wisconsin
Provider Information
- NPI Number
- 1134493067
- Entity Type
- Individual
- Name
- Phillip Norman Heistad
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Audiologist-Hearing Aid Fitter
- Enumeration Date
- Feb 23, 2012
- Last Updated
- Feb 23, 2012
Practice Location
- Address
- 1226 LAKE ST
- City
- White Lake
- State
- Wisconsin
- ZIP Code
- 54491-9750
- Phone
- (715) 882-8107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Audiologist-Hearing Aid Fitter |
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