| Organization Name: | DAKOTA PEDIATRICS, P.A. |
| NPI Number: | 1285943027 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT M DEEB (ADMINISTRATOR) |
| Mailing Address: | 5975 Carmen Ave Inver Grove Heights |
| State: | MN US |
| Postal Code: | 550764416 |
| Phone Number: | 6514559697 |
| Fax Number: | 6514552012 |
| NPI Enumeration Date: | 09/28/2010 |
| NPI Last Update Date: | 10/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | R1693555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |