# MINNESOTA SPINE REHAB, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Specialists in Occupational & Envrionmental Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043236896
- **Authorized official:** DR. SHERIEF A MIKHAIL M.D., M.P.H. (MEDICAL DIRECTOR)
- **Authorized official phone:** (651) 209-6520

## Contact information

- **Practice address:** 360 SHERMAN ST, SUITE 470, SAINT PAUL, MN 55102-2564
- **Practice address phone:** (651) 209-6520
- **Practice address fax:** (651) 209-6521
- **Mailing address:** 360 SHERMAN ST, SUITE 470, SAINT PAUL, MN 55102-2564
- **Mailing address phone:** (651) 209-6520
- **Mailing address fax:** (651) 209-6521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 33701 | MN | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 12/18/2007