| NPI | 1871930693 |
|---|---|
| Other Name | SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JERRY G. GANTT President 218-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-01-13 |