Organization
CHILDRENS HEALTH CARE SERVICES INC
Active
Other names
Childrens Minnetonka
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LU ALEXANDER MCCORMICK (SR. VP AND CHIEF FINANCIAL OFFICER)
(612) 813-6129
Entity
Organization
Contact information
Practice address
6050 CLEARWATER DRIVE, CHILDRENS MINNETONKA, MINNETONKA, MN 55343
(952) 930-8600
(952) 930-8650
Mailing address
5901 LINCOLN DR, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5398
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847979800
—
MN
Enumeration date
10/26/2006
Last updated
10/31/2022
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