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MINNESOTA HEAD AND NECK PAIN CLINIC PA NPI 1003316852


NPI Information

NPI: 1003316852
Provider Name: MINNESOTA HEAD AND NECK PAIN CLINIC, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
622 ROOSEVELT RD
SAINT CLOUD, MN
ZIP 56301
Phone: (763) 577-2484
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MINNESOTA HEAD AND NECK PAIN CLINIC, PA is a specialist in Saint Cloud, MN. The provider is 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. MINNESOTA HEAD AND NECK PAIN CLINIC, PA NPI is 1003316852. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

622 ROOSEVELT RD
SAINT CLOUD, MN
ZIP 56301-153
Phone: (763) 577-2484
Fax: (763) 577-1375

The provider's authorized official is Larry Bruhn .
The authorized official title is Billing Depart Team Lead and has the following contact phone number (651) 332-7476.

The enumeration date for this NPI number is 2/19/2018 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.