Organization · Type 2 NPI
Minnesota Head and Neck Pain Clinic, PA
Specialist · St. Paul, MN
NPI number
1104850155
Active
Practice location
2550 University Ave W, Ste 189S
St. Paul, MN 55114
Fax (651) 332-7475
Mailing address
3475 Plymouth Blvd Ste 200
Plymouth, MN 55447-1539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other specialist providers in St. Paul
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About NPI 1104850155
Minnesota Head and Neck Pain Clinic, PA's National Provider Identifier is 1104850155, issued on Jul 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 17, 2024.