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MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER NPI 1033565510


NPI Information

NPI: 1033565510
Provider Name: MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 24D0662868

Address:
4444 76 ST
#700
EDINA, MN
ZIP 55435
Phone: (612) 888-1433
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MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER is a medical specialty clinic center in Edina, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER NPI is 1033565510. The provider is registered as an organization entity type.

The provider's business location address is:

4444 76 ST
#700
EDINA, MN
ZIP 55435
Phone: (612) 888-1433

The provider's authorized official is Lynn M Miller .
The authorized official title is President and has the following contact phone number (612) 888-1433.

The CLIA number assigned to this NPI record is 24D0662868 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/13/2016 and was last updated on 5/13/2016.


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
1261QM2500XClinic/CenterMedical Specialty50690MINNESOTAYes

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: 11/14/2023

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