Organization
PEDIATRIC & ADOLESCENT CARE OF MN., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN DREELAN (ADMINISTRATOR)
(651) 451-4700
Entity
Organization
Contact information
Practice address
1547 LIVINGSTON AVE, SAINT PAUL, MN 55118-3411
(651) 451-8050
Mailing address
1547 LIVINGSTON AVE, SAINT PAUL, MN 55118-3411
(651) 451-8050
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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