| Jka5 Maple Grove Inc | |
|
7270 Forestview Ln N, 225, Maple Grove, MN 55369-5546 | |
| (320) 252-0094 | |
| Not Available |
| Full Name | Jka5 Maple Grove Inc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 7270 Forestview Ln N, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861945453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Kevin David Amdahl |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972624286 PECOS PAC ID: 8123123890 Enrollment ID: I20070425000357 |
| Provider Name | Megan Michelle Kramer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942881859 PECOS PAC ID: 8224438478 Enrollment ID: I20210610000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Jka5 Maple Grove Inc 2848 2nd St S Ste 185, Saint Cloud, MN 56301-3708 Ph: (320) 252-0094 | Jka5 Maple Grove Inc 7270 Forestview Ln N, 225, Maple Grove, MN 55369-5546 Ph: (320) 252-0094 |
Dr. Katherine Lynn Awoyinka, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9825 Hospital Drive, Suite Ll-10, Maple Grove, MN 55369 Phone: 612-339-2836 | |
Mollana Carson Purdy, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 203, Maple Grove, MN 55369 Phone: 763-233-5755 | |
Ashley Wong, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 9825 Hospital Dr, Suite Ll-10, Maple Grove, MN 55369 Phone: 612-339-2836 | |
Bethany Wysocki, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440 | |
Megan Kramer, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7270 Forestview Ln N Ste 160, Maple Grove, MN 55369 Phone: 763-432-3386 Fax: 320-252-0365 | |
Bridget Miskowiec Carlson, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9825 Hospital Dr, Suite Ll 10, Maple Grove, MN 55369 Phone: 612-339-2836 |