OrganizationActive
Children'S Clinic Network
NPI 1275894982 · Medical Specialty Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1275894982
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marc Gorelick, President & Chief Executive Officer(612) 813-8031
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2525 Chicago Avenue South
Minneapolis, MN 55404-4518
Phone: (612) 813-6000
Approximate (ZIP-level) locationGet directions
Mailing address
5901 Lincoln Drive, Cbc-2-Rev/Pe
Edina, MN 55436-1611
Other names (DBA / former)
- Doing business as
- Children'S Ent and Facial Plastic Surgery
- Doing business as
- Children'S Ent and Facial Plastic Surgery
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2022-10-31
- Certified
- 2022-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.