Mendakota Pediatrics Ltd

NPI #1497739320 in West St Paul, Minnesota

Provider Information

NPI Number: 1497739320
Entity Type: Organization
Organization Name: Mendakota Pediatrics Ltd
Primary Specialty: Pediatrics
Enumeration Date: Dec 5, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1880 LIVINGSTON AVENUE
Address 2: SUITE 102
City: West St Paul
State: Minnesota
ZIP Code: 55118
Phone: (651) 552-7999

Authorized Official

Name: JENNIFER W GOBEL, MD
Title: PRESIDENT
Phone: (651) 552-7999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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