Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
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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