Organization · Type 2 NPI

Shriners Hospitals for Children

Pediatric Orthopaedic Surgery Physician · Minneapolis, MN

NPI number 1114369006 Active

Practice location

2025 E River Pkwy
Minneapolis, MN 55414-3604

Fax (612) 596-7634

Mailing address

PO Box 8500, Lockbox #7642
Philadelphia, PA 19178-7642

Specialties and licenses

TaxonomyCodeLicense
Pediatric Orthopaedic Surgery Physician Primary 207XP3100XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed
Certified Registered Nurse Anesthetist 367500000XNone listed

Pediatric Orthopaedic Surgery Physician: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

17 other providers at this address

About NPI 1114369006

Shriners Hospitals for Children's National Provider Identifier is 1114369006, issued on Jul 22, 2013. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 7, 2014.