Organization · Type 2 NPI

Pediatric Services PA

Clinic/Center · St. Louis Park, MN

NPI number 1962553917 Active

Practice location

4700 Park Glen Rd
St. Louis Park, MN 55416-5701

Call (952) 922-4200 Map

Fax (952) 922-4301

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X1056 (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).

3 other providers at this address

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About NPI 1962553917

Pediatric Services PA's National Provider Identifier is 1962553917, issued on Jan 16, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 10, 2016.