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Organization
PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC
Active
Organization
PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC
Active
Parent organization
APM MINNESOTA MSO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APM MINNESOTA MSO, LLC
Authorized official
VISHAL LAL (CEO)
(414) 325-7246
Entity
Organization
Contact information
Practice address
480 OSBORNE RD NE, SUITE 260, FRIDLEY, MN 55432-2773
(763) 537-6000
(763) 537-6666
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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