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INTERVENTIONAL PAIN CENTER PLLC. NPI 1891137220


NPI Information

NPI: 1891137220
Provider Name: INTERVENTIONAL PAIN CENTER, PLLC.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
10653 WAYZATA BLVD
SUITE 200
MINNETONKA, MN
ZIP 55305
Phone: (952) 236-7610
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INTERVENTIONAL PAIN CENTER, PLLC. is a pain medicine physical medicine rehabilitation in Minnetonka, MN. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. INTERVENTIONAL PAIN CENTER, PLLC. NPI is 1891137220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10653 WAYZATA BLVD
SUITE 200
MINNETONKA, MN
ZIP 55305-528
Phone: (952) 236-7610
Fax: (952) 426-0674

The provider's authorized official is David K Ketroser .
The authorized official title is Owner and has the following contact phone number (952) 236-7610.

The enumeration date for this NPI number is 7/26/2013 and was last updated on 6/17/2014.


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
12084N0400XPsychiatry & NeurologyNeurology24316MINNESOTANo
2208VP0014XPain MedicineInterventional Pain Medicine42871MINNESOTANo
3111N00000XChiropractor3852MINNESOTANo
4207X00000XOrthopaedic Surgery34220MINNESOTANo
52081P2900XPhysical Medicine & RehabilitationPain Medicine44760MINNESOTAYes

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.