Northeast Pediatric Clinic P.a.
NPI #1730162371 in Vadnais Heights, Minnesota
Provider Information
- NPI Number
- 1730162371
- Entity Type
- Organization
- Organization Name
- Northeast Pediatric Clinic P.a.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 29, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4520 CENTERVILLE RD
- City
- Vadnais Heights
- State
- Minnesota
- ZIP Code
- 55127-3602
- Phone
- (651) 426-1141
Authorized Official
- Name
- DR. MARY ANN LEUKUMA, M.D.
- Title
- CEO
- Phone
- (651) 426-1141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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