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

NORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE

Active Organization

NORTHERN 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 140
VADNAIS HEIGHTS, MN, 551104462
Browse 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.