NORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE
Organization (NPI-2)
Active
Pediatrics, Adolescent Medicine
Provider Information
- NPI Number
1912069519- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3555 WILLOW LAKE BLVD. SUITE 140, VADNAIS HEIGHTS, MN, 551104462
- Phone
- (651) 251-5280
- Fax
- (651) 251-5282
Specialties & Taxonomies
Pediatrics, Adolescent Medicine
Primary