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Organization
MINNESOTA PAIN PREVENTION CLINIC, P.A.
Active
Organization
MINNESOTA PAIN PREVENTION CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS TAYLOR (ADMINISTRATOR)
(612) 296-4404
Entity
Organization
Contact information
Practice address
3475 PLYMOUTH BLVD STE 200, MINNEAPOLIS, MN 55447-1539
(612) 619-1678
Mailing address
PO BOX 120114, SAINT PAUL, MN 55112-0012
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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