Organization · Type 2 NPI

Interventional Spine and Pain Physicians, PA

Specialist · Maple Grove, MN

NPI number 1326398561 Active

Practice location

9645 Grove Cir N Ste 200
Maple Grove, MN 55369

Fax (763) 201-8192

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Pain Medicine (Anesthesiology) Physician 207LP2900XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone 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.

18 other providers at this address

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About NPI 1326398561

Interventional Spine and Pain Physicians, PA's National Provider Identifier is 1326398561, issued on Sep 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 22, 2026.