Organization · Type 2 NPI

Gillette Children's Specialty Healthcare

Multi-Specialty Clinic/Center · Maple Grove, MN

NPI number 1730363698 Active

Practice location

9550 Upland Lane North, Suite 220
Maple Grove, MN 55369

Mailing address

200 University Ave E
St. Paul, MN 55101-2507

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Customized Equipment (DME) 332BC3200XNone listed
Prosthetic/Orthotic Supplier 335E00000XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1730363698

Gillette Children's Specialty Healthcare's National Provider Identifier is 1730363698, issued on Dec 27, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Maple Grove, MN. The record was last updated on Dec 13, 2019.