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Individual

PAMELA G CHAWLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
347 SMITH AVE N, CHILDREN'S PRIMARY CLINIC - STPL, SAINT PAUL, MN 55102-2387
(651) 220-6789
(651) 220-6807
Mailing address
2910 CENTRE POINT DR, 35-121A, CHILDREN'S HEALTH CARE, ROSEVILLE, MN 55113-1182
(651) 855-2327
(651) 855-2310

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41278
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
766725600
MN
Enumeration date
07/21/2005
Last updated
10/25/2012
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