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Organization
REALIEF MEDICAL, P.A.
Active
Organization
REALIEF MEDICAL, P.A.
Active
Other names
Realief Medical, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED V. ANDERSON M.D., D.C. (OWNER/SHAREHOLDER)
(952) 456-6160
Entity
Organization
Contact information
Practice address
1660 HIGHWAY 100 S, SUITE 229, ST LOUIS PARK, MN 55416-1529
(952) 456-6160
(952) 835-9830
Mailing address
1660 HIGHWAY 100 S, SUITE 229, ST LOUIS PARK, MN 55416-1529
(952) 456-6160
(952) 835-9830
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
24538
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396838850
NPI
MN
01
—
1508102500
GROUP NPI
—
01
—
C09271
GROUP MEDICARE NUMBER
—
Enumeration date
10/02/2006
Last updated
09/20/2013
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