Organization
CHILDREN'S CLINIC NETWORK
Active
Other names
Partners in Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LU ALEXANDER MCCORMICK (SR. VP AND CHIEF FINANCIAL OFFICER)
(612) 813-6129
Entity
Organization
Contact information
Practice address
12720 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 559-2861
(763) 559-1338
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5691
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
10/31/2022
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