Anita C Konikoff, CCC-A

NPI #1760646681 in Fridley, Minnesota

Provider Information

NPI Number: 1760646681
Entity Type: Individual
Name: Anita C Konikoff, CCC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: CCC-A
Enumeration Date: Jul 10, 2008
Last Updated: Jul 10, 2008

Practice Location

Address: 6341 UNIVERSITY AVE NE
City: Fridley
State: Minnesota
ZIP Code: 55432-4946
Phone: (763) 572-5710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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