Northern Lights Pediatric & Adolescent Medicine
Northern Lights Pediatric & Adolescent Medicine is a Pediatric Adolescent Medicine Physician in Vadnais Heights, Minnesota. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3555 Willow Lake Blvd Ste 140Vadnais Heights, MN 55110-4462
Phone: (651) 251-5280
Fax: (651) 251-5282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1912069519 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy McCabe — Partner · (651) 251-5280 |
| NPI enumerated | December 14, 2006 |
| Last updated in NPPES | May 20, 2009 |
| Mailing address | 3555 Willow Lake Blvd., Suite 140, Vadnais Heights, MN 55110-4462 |
Other providers in Vadnais Heights
-
Linda J Knapp, MD
3555 Willow Lk Blvd Ste 140, Vadnais Heights, MN 55110 · (651) 770-2124