NORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE

Pediatrics - Adolescent Medicine

Active Organization
NPI: 1912069519

Practice Address

3555 WILLOW LAKE BLVD.
SUITE 140
Vadnais Heights, MN 55110

Phone: (651) 251-5280

Specialties

Specialty Code Primary License
Pediatrics - Adolescent Medicine 2080A0000X Yes -

Frequently Asked Questions

NPI 1912069519 is the National Provider Identifier for NORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE, a Pediatrics - Adolescent Medicine provider located in Vadnais Heights, MN. This NPI was enumerated on December 14, 2006.

Quick Facts

NPI
1912069519
Type
Organization
Enumerated
Dec 14, 2006
Last Updated
May 20, 2009

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