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Organization

PEDIATRIC ENT ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA A HEIMERL (MANAGER)
(612) 874-1292
Entity
Organization

Contact information

Practice address
910 E 26TH ST, SUITE 323, MINNEAPOLIS, MN 55404-4526
(612) 874-1292
Mailing address
910 E 26TH ST, SUITE 323, MINNEAPOLIS, MN 55404-4526
(612) 874-1292

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary

Other

Enumeration date
10/25/2006
Last updated
08/22/2020
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