Organization
WAYZATA CHILDREN'S CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA R. ENGELBREKT MD (PRESIDENT)
(952) 473-0211
Entity
Organization
Contact information
Practice address
14001 RIDGEDALE DR, #100, MINNETONKA, MN 55305-1753
(952) 473-0211
(952) 473-7908
Mailing address
14001 RIDGEDALE DR, #100, MINNETONKA, MN 55305-1753
(952) 473-0211
(952) 473-7908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/07/2006
Last updated
04/05/2017
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