Organization
CHILD NEUROLOGY SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH GILLES M.D. (OWNER)
(651) 356-0136
Entity
Organization
Contact information
Practice address
360 SHERMAN ST, SUITE 399, FORT ROAD MEDICAL CENTER, SAINT PAUL, MN 55102-2564
(651) 356-0136
Mailing address
360 SHERMAN ST, SUITE 399, FORT ROAD MEDICAL CENTER, SAINT PAUL, MN 55102-2564
(651) 356-0136
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
42885
MN
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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