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Organization
MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC
Active
Organization
MINNESOTA NEUROREHABILITATION INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LOCKMAN M.D. (CEO)
(612) 850-8278
Entity
Organization
Contact information
Practice address
7400 METRO BLVD STE 400, EDINA, MN 55439-2326
(612) 999-1908
Mailing address
4428 BROOKSIDE AVE, EDINA, MN 55436-1507
(612) 850-8278
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/06/2024
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