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Individual

JOANNA LEE PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD MS

Contact information

Practice address
2525 CHICAGO AVE S, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS, MINNEAPOLIS, MN 55404
(612) 813-5940
(612) 813-6325
Mailing address
2910 CENTRE POINTE DR, 35-121A, CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42443
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
42443
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
690087900
MN
Enumeration date
02/22/2006
Last updated
09/05/2012
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