Organization · Type 2 NPI

Minnesota Craniofacial Center P.c.

Clinic/Center · St. Paul, MN

NPI number 1104160480 Active

Practice location

2550 University Ave W, Suite 143N
St. Paul, MN 55114-1052

Call (651) 642-1013 Map

Fax (651) 642-0947

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X11715 (MN)

Clinic/Center: 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).

144 other providers at this address

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About NPI 1104160480

Minnesota Craniofacial Center P.c.'s National Provider Identifier is 1104160480, issued on Nov 26, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 11, 2015.