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NPI Profile for NORTHERN LIGHTS PEDIATRIC ADOLESCENT MEDICINE in VADNAIS HEIGHTS, MN.
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1912069519 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/14/2006 | |
| Last updated | 05/20/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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NORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE
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NORTHERN LIGHTS PEDIATRIC & ADOLESCENT MEDICINE