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Organization
PHYSICIANS NECK AND BACK CLINICS PA
Active
Organization
PHYSICIANS NECK AND BACK CLINICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A WEGNER MD (OWNER VICE PRESIDENT)
(651) 639-9150
Entity
Organization
Contact information
Practice address
3050 CENTRE POINTE DRIVE, SUITE 200, ROSEVILLE, MN 55113
(651) 639-9150
(651) 639-9153
Mailing address
3050 CENTRE POINTE DRIVE, SUITE 200, ROSEVILLE, MN 55113
(651) 639-9150
(651) 639-9153
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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