Organization · Type 2 NPI

Midwest Spine & Brain Institute, L.l.c.

Orthopaedic Surgery of the Spine Physician · Stillwater, MN

NPI number 1902836133 Active · reactivated Oct 17, 2018

Practice location

1950 Northwestern Ave S Ste 102
Stillwater, MN 55082-7615

Fax (651) 430-3827

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician 207LP2900XNone listed
Orthopaedic Surgery of the Spine Physician Primary 207XS0117XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Physician Assistant 363A00000XNone listed

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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About NPI 1902836133

Midwest Spine & Brain Institute, L.l.c.'s National Provider Identifier is 1902836133, issued on Jul 4, 2006. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Stillwater, MN. The record was last updated on Mar 15, 2019.