Organization · Type 2 NPI
Interventional Pain & Physical Medicine Clinic
Pain Clinic/Center · Sartell, MN
NPI number
1013056969
Active
Practice location
2301 Connecticut Avenue South
Sartell, MN 56377-2474
Fax (320) 229-1505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 41961 (MN) |
| Interventional Pain Medicine Physician | 208VP0014X | 41961 (MN) |
| Physical Therapy Clinic/Center | 261QP2000X | 41961 (MN) |
| Pain Clinic/Center Primary | 261QP3300X | 41961 (MN) |
Pain Clinic/Center: Definition to come...
Another provider at this address
About NPI 1013056969
Interventional Pain & Physical Medicine Clinic's National Provider Identifier is 1013056969, issued on Feb 6, 2007. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Sartell, MN. The record was last updated on Jul 14, 2015.