Basic Information
| Provider Information | |||||||||
| NPI: | 1942686605 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUERRERO | ||||||||
| FirstName: | HUGO | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 1ST ST SW | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559050001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6087850940 | ||||||||
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| Practice Location | |||||||||
| Address1: | 191 THEATER RD | ||||||||
| Address2: | |||||||||
| City: | ONALASKA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 54650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083925000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2015 | ||||||||
| LastUpdateDate: | 04/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 2636 | NY | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | 683 | WI | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.