Northeast Pediatric Clinic P.a. | |
4520 Centerville Rd Vadnais Heights MN 55127-3602 | |
(651) 426-1141 | |
(651) 426-1705 |
Full Name | Northeast Pediatric Clinic P.a. |
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Speciality | Clinic/center - Primary Care |
Location | 4520 Centerville Rd, Vadnais Heights, Minnesota |
Authorized Official Name and Position | Mary Ann Leukuma (CEO) |
Authorized Official Contact | 6514261141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northeast Pediatric Clinic P.a. 4520 Centerville Rd Vadnais Heights MN 55127-3602 Ph: (651) 426-1141 | Northeast Pediatric Clinic P.a. 4520 Centerville Rd Vadnais Heights MN 55127-3602 Ph: (651) 426-1141 |
NPI Number | 1730162371 |
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Provider Enumeration Date | 11/29/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1730162371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Minnesota Natural Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 Willow Lake Blvd, #100, Vadnais Heights, MN 55110 Phone: 651-484-5567 | |