Northern Lights Pediatric & Adolescent Medicine
NPI #1912069519 in Vadnais Heights, Minnesota
Provider Information
- NPI Number
- 1912069519
- Entity Type
- Organization
- Organization Name
- Northern Lights Pediatric & Adolescent Medicine
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Dec 14, 2006
- Last Updated
- May 20, 2009
Practice Location
- Address
- 3555 WILLOW LAKE BLVD.
- Address 2
- SUITE 140
- City
- Vadnais Heights
- State
- Minnesota
- ZIP Code
- 55110-4462
- Phone
- (651) 251-5280
Authorized Official
- Name
- WENDY MARIAN NELMS MCCABE, M.D.
- Title
- PARTNER
- Phone
- (651) 251-5280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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