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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHILD AND TEEN MEDICAL CENTER

Active Organization

CHILD AND TEEN MEDICAL CENTER is a Pediatrics organization located in BLAINE, Minnesota. NPI 1225158520 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BLAINE, MN

Registration Details

NPI Number
1225158520
Provider Type
Organization
NPI Issued
Mar 30, 2007 (19.418818549584 yrs)
Last Updated
Aug 24, 2021

Practice Information

Address
11107 ULYSSES ST NE STE 100
BLAINE, MN, 554344184
Browse MN providers · Browse ZIP 55434
Phone
7633337733
Fax
7633337711
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.