Unknown Individual – Pediatric Pathology Physician, NPI 1285626192
Pediatric Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2910, Centre Pointe Drive, Roseville, Ramsey County, Minnesota, 55113, United States
35-121A CHILDREN'S HEALTH CARE
ROSEVILLE, MN 551131182
Phone: (651) 855-2109
Fax: (651) 855-2310
Type: Mailing
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
CHILDREN'S HOSPITALS AND CLINICS - PATHOLOGY - MPLS
MINNEAPOLIS, MN 554044518
Phone: (612) 813-6280
Fax: (612) 813-6951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55113)
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