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Pediatric Services Pa
Clinic/Center in St Louis Park, Minnesota
NPI 1962553917

Pediatric Services Pa is a Clinic/Center based in St Louis Park, MN. Pediatric Services Pa practices in St Louis Park, MN. The NPI Number for Pediatric Services Pa is 1962553917 and holds a License No. 1056 (Minnesota).

The current practice location address for Pediatric Services Pa is 4700 Park Glen Rd, St Louis Park, MN and can be reached out via phone at 952-922-4200 and via fax at 952-922-4301. You can also correspond with Pediatric Services Pa through the mailing address at 4700 PARK GLEN RD, ST LOUIS PARK, MN - 55416-5701 (mailing address contact number: 952-922-4200).

Location: 4700 Park Glen Rd, St Louis Park, MN, 55416-5701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962553917
Provider Name
Pediatric Services Pa
Credential
Provider Entity Type
Organization
Address
4700 Park Glen Rd, St Louis Park, MN, 55416-5701
Phone Number
952-922-4200
Fax Number
952-922-4301
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
485010600 05 MN
institution
Provider Business Practice Location Address Details
Address
4700 Park Glen Rd
City
St Louis Park
State
Minnesota
Zip
55416-5701
Phone Number
952-922-4200
Fax Number
952-922-4301
person
Provider Business Mailing Address Details
Address
4700 Park Glen Rd
City
St Louis Park
State
Minnesota
Zip
55416-5701
Phone Number
952-922-4200
Fax Number
952-922-4301
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1056 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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