institution
Northern Lights Pediatric & Adolescent Medicine
Pediatric Adolescent Medicine Physician in Vadnais Heights, Minnesota
NPI 1912069519

Northern Lights Pediatric & Adolescent Medicine is a Pediatric Adolescent Medicine Physician based in Vadnais Heights, MN and is specialized in Adolescent Medicine. Northern Lights Pediatric & Adolescent Medicine practices in Vadnais Heights, MN. The NPI Number for Northern Lights Pediatric & Adolescent Medicine is 1912069519 and holds a License No. (Minnesota).

The current practice location address for Northern Lights Pediatric & Adolescent Medicine is 3555 Willow Lake Blvd., Vadnais Heights, MN and can be reached out via phone at 651-251-5280 and via fax at 651-251-5282.

Location: 3555 Willow Lake Blvd., Vadnais Heights, MN, 55110-4462
institution
Provider Profile Details
NPI Number
1912069519
Provider Name
Northern Lights Pediatric & Adolescent Medicine
Credential
Provider Entity Type
Organization
Address
3555 Willow Lake Blvd., Vadnais Heights, MN, 55110-4462
Phone Number
651-251-5280
Fax Number
651-251-5282
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29960NO 01 MN BCBS MN
744432000 05 MN
165339 01 MN UCARE
institution
Provider Business Practice Location Address Details
Address
3555 Willow Lake Blvd.
City
State
Zip
55110-4462
Phone Number
651-251-5280
Fax Number
651-251-5282
person
Provider Business Mailing Address Details
Address
3555 Willow Lake Blvd.
City
State
Zip
55110-4462
Phone Number
651-251-5280
Fax Number
651-251-5282
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
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Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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