NPI 1932208808

Childrens Health Care

Organisation Pediatrics Physician Minneapolis, MN

Practice location

Address: 2525 Chicago Ave S, Minneapolis, MN 55404
Phone: (612) 813-6111
Mailing address: 5901 Lincoln Drive, Cbc-2-Rev/Pe, Edina, MN 55436-1611

Authorised official

Name: Brenda Lu Alexander McCormick
Title: Sr. Vp and Chief Financial Officer
Phone: (612) 813-6129

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Minnesota →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X Licence 331018 (MN)

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1932208808
Entity type: Organization
NPI issued: 21 Sep 2006
Record last updated: 31 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.