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Organization

CHILDREN'S HEALTH CARE

Active
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
2525 CHICAGO AVE. S., MINNEAPOLIS, MN 55404-4518
(612) 813-6000
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
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
10/26/2007
Last updated
10/31/2022
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