Organization
THE CHILDRENS HEART CLINIC P,A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOSSIA MILLER LAKE (CLINIC OPERATIONS COORDINATOR)
(612) 813-8801
Entity
Organization
Contact information
Practice address
2530 CHICAGO AVE, SUITE 500, MINNEAPOLIS, MN 55404-4291
(612) 813-8800
(612) 813-8825
Mailing address
2530 CHICAGO AVE, SUITE 500, MINNEAPOLIS, MN 55404-4291
(612) 813-8800
(612) 813-8825
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
10/16/2012
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