Organization · Type 2 NPI
Northern Lights Pediatric & Adolescent Medicine
Pediatric Adolescent Medicine Physician · Vadnais Heights, MN
Practice location
3555 Willow Lake Blvd., Suite 140
Vadnais Heights, MN 55110-4462
Fax (651) 251-5282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | None listed |
Pediatric Adolescent Medicine Physician: 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.
About NPI 1912069519
Northern Lights Pediatric & Adolescent Medicine's National Provider Identifier is 1912069519, issued on Dec 14, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Vadnais Heights, MN. The record was last updated on May 20, 2009.