Organization
PEDIATRIC CENTER HOLDINGS, LLC
Active
Other names
Hummingbird Ear Tube Clinic for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI MARIE ALBERS (DIRECTOR OF OPERATIONS)
(612) 718-0092
Entity
Organization
Contact information
Practice address
15450 HIGHWAY 7 STE 200, MINNETONKA, MN 55345-3522
(763) 581-8960
Mailing address
1158 SUNRISE ALCOVE, WOODBURY, MN 55125-9284
(612) 718-0092
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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