Organization
CHILDREN'S RESPIRATORY & CRITICAL CARE SPECIALISTS. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FOLEY (ADMINISTRATOR)
(612) 813-3324
Entity
Organization
Contact information
Practice address
2530 CHICAGO AVE, SUITE 400, MINNEAPOLIS, MN 55404-4570
(612) 813-3300
(612) 813-3349
Mailing address
2530 CHICAGO AVE, SUITE 400, MINNEAPOLIS, MN 55404-4387
(612) 813-3300
(612) 813-3349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
62826
MN
2080P0214X
Pediatric Pulmonology Physician
Primary
62826
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003816505
—
MN
Enumeration date
07/26/2005
Last updated
09/01/2017
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