| NPI | 1275894982 |
|---|---|
| Doing Business As | CHILDREN'S ENT AND FACIAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARC H GORELICK President & Chief Executive Officer 612-813-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-10-31 |