Partners In Pediatrics | |
12720 Bass Lake Rd Maple Grove MN 55369-6307 | |
(763) 559-2861 | |
(763) 559-1338 |
Full Name | Partners In Pediatrics |
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Speciality | Clinic/center - Primary Care |
Location | 12720 Bass Lake Rd, Maple Grove, Minnesota |
Authorized Official Name and Position | Brenda Lu Alexander Mccormick (SR. VP AND CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6128136129 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Partners In Pediatrics 5901 Lincoln Drive Cbc-2-rev/pe Edina MN 55436-1611 Ph: (952) 992-5691 | Partners In Pediatrics 12720 Bass Lake Rd Maple Grove MN 55369-6307 Ph: (763) 559-2861 |
NPI Number | 1013278720 |
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Provider Enumeration Date | 05/30/2012 |
Last Update Date | 10/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013278720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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