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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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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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.