ELLEN DE VRIES

Pediatrics

Active Individual
NPI: 1902880735

Practice Address

14000 FAIRVIEW DR
Burnsville, MN 55337

Phone: (952) 993-8700

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 31602 (MN)

Frequently Asked Questions

NPI 1902880735 is the National Provider Identifier for ELLEN DE VRIES, a Pediatrics provider located in Burnsville, MN. This NPI was enumerated on December 5, 2005.
ELLEN DE VRIES practices at 14000 FAIRVIEW DR, Burnsville, MN 55337.

Quick Facts

NPI
1902880735
Type
Individual
Enumerated
Dec 5, 2005
Last Updated
Oct 21, 2011

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