Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE
Active OrganizationNORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE is a Adolescent Medicine (Pediatrics) organization located in VADNAIS HEIGHTS, Minnesota. NPI 1912069519 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · VADNAIS HEIGHTS, MN
Registration Details
- NPI Number
- 1912069519
- Provider Type
- Organization
- NPI Issued
- Dec 14, 2006 (19.694562950199 yrs)
- Last Updated
- May 20, 2009
Practice Information
- Address
-
3555 WILLOW LAKE BLVD.SUITE 140VADNAIS HEIGHTS, MN, 551104462Browse MN providers · Browse ZIP 55110
- Phone
- 6512515280
- Fax
- 6512515282
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
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.