Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Hospitals for Children (Professional Services)
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LOBECK (ADMINISTRATOR)
(612) 596-6111
Entity
Organization
Contact information
Practice address
2025 E RIVER PKWY, MINNEAPOLIS, MN 55414-3604
(612) 596-6100
(612) 596-7634
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(612) 596-6100
(612) 596-7634
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/22/2013
Last updated
10/07/2014
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