NPI 1023603842 · live from the CMS NPI Registry
Early Development Institute
Pediatrics, Developmental - Behavioral Pediatrics in Minneapolis, MN. National Provider Identifier 1023603842, active.
NPI record
| NPI | 1023603842 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 110 W 26th St, Minneapolis, MN 55404 |
| Practice phone | 612-636-7337 |
| Enumerated | March 3, 2021 |
| Last updated | March 3, 2021 |
| Authorized official | Guled Mohamoud, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.