| Doctor Name: | MR. BLANE AUSEN ANDERSON |
| NPI Number: | 1124162706 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CCC-A |
| License Number: | 5919 |
| Business Practice Address: | 825 N Broadway St New Ulm, MN - 560731203 |
| Business Phone Number: | 5073591932 |
| Business Fax Number: | 5073541369 |
| Mailing Address: | 215 Shuman Blvd, Ste 401 NAPERVILLE |
| State: | IL |
| Postal Code: | 605638458 |
| Phone Number: | 6303035380 |
| Fax Number: | 9783136824 |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 03/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 5919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |