Organization
CHILDREN'S CLINIC NETWORK
Active
Other names
Children's ENT and Facial Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MARC H GORELICK MD (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(612) 813-8031
Entity
Organization
Contact information
Practice address
2525 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5398
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
10/31/2022
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