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ANDREW J WILL MD PA NPI 1336655521


NPI Information

NPI: 1336655521
Provider Name: ANDREW J WILL MD PA

Doing Business As: TWIN CITIES PAIN CLINIC

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 24D2024527

Address:
14551 COUNTY ROAD 11 STE 100
BURNSVILLE, MN
ZIP 55337
Phone: (952) 841-2345
Get Directions

ANDREW J WILL MD PA is a pain clinic center in Burnsville, MN. ANDREW J WILL MD PA NPI is 1336655521. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Twin Cities Pain Clinic.

The provider's business location address is:

14551 COUNTY ROAD 11 STE 100
BURNSVILLE, MN
ZIP 55337-799
Phone: (952) 841-2345
Fax: (952) 841-2346

The provider's authorized official is Andrew J. Will .
The authorized official title is Owner and has the following contact phone number (952) 841-2345.

The CLIA number assigned to this NPI record is 24D2024527 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/26/2017 and was last updated on 12/27/2021.


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
1208100000XPhysical Medicine & RehabilitationNo
2261QP3300XClinic/CenterPain40619MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1369822000MEDICAIDMINNESOTA

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.