| NPI | 1225119175 |
|---|---|
| Doing Business As | GILLETTE CHILDREN'S PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | PATRICK NOLAN CFO 651-312-3105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-12-13 |