Pediatric Surgical Associates Ltd
NPI #1093778292 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1093778292
- Entity Type
- Organization
- Organization Name
- Pediatric Surgical Associates Ltd
- Primary Specialty
- Surgery - Pediatric Surgery
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jun 9, 2015
Practice Location
- Address
- 2530 CHICAGO AVE
- Address 2
- SUITE 550
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55404-4289
- Phone
- (612) 813-8000
Authorized Official
- Name
- MR. PAUL LOUISELLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (612) 813-8006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Pediatric Surgery — Pediatric Surgery |
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