# MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033565510
- **Authorized official:** DR. LYNN M MILLER D.O. (PRESIDENT)
- **Authorized official phone:** (612) 888-1433

## Contact information

- **Practice address:** 4444 76 ST, \#700, EDINA, MN 55435
- **Practice address phone:** (612) 888-1433
- **Mailing address:** 6 RED FOREST LN, NORTH OAKS, MN 55127-6352
- **Mailing address phone:** (612) 888-1433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 50690 | MN | Yes |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 05/13/2016