Organization
MENDAKOTA PEDIATRICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER W GOBEL MD (PRESIDENT)
(651) 552-7999
Entity
Organization
Contact information
Practice address
1880 LIVINGSTON AVENUE, SUITE 102, WEST ST PAUL, MN 55118
(651) 552-7999
(651) 552-0777
Mailing address
1880 LIVINGSTON AVENUE, SUITE 102, WEST ST PAUL, MN 55118
(651) 552-7999
(651) 552-0777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31085
MN
Other
Enumeration date
12/05/2005
Last updated
08/22/2020
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