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

PEDIATRIC SERVICES PA

Active Organization

PEDIATRIC SERVICES PA is a Clinic/Center organization located in ST LOUIS PARK, Minnesota. NPI 1962553917 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · ST LOUIS PARK, MN

Registration Details

NPI Number
1962553917
Provider Type
Organization
NPI Issued
Jan 16, 2007 (19.622275658069 yrs)
Last Updated
Mar 10, 2016
License
1056 (MN)

Practice Information

Address
4700 PARK GLEN RD
ST LOUIS PARK, MN, 554165701
Browse MN providers · Browse ZIP 55416
Phone
9529224200
Fax
9529224301
Primary Specialty
Clinic/Center
261Q00000X
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.