Organization
DAKOTA CHILD AND FAMILY CLINIC PA
Active
Organization
DAKOTA CHILD AND FAMILY CLINIC PA
Active
Other names
Dakota Child and Family Clinic PA
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI ROSE (MEDICAL BILLING)
(651) 209-8640
Entity
Organization
Contact information
Practice address
2530 HORIZON DR, BURNSVILLE, MN 55337-3091
(651) 209-8640
Mailing address
2530 HORIZON DR, BURNSVILLE, MN 55337-3091
(651) 209-8640
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1854
MN
Other
Enumeration date
09/05/2012
Last updated
03/16/2022
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