Organization
MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN M MILLER D.O. (PRESIDENT)
(612) 888-1433
Entity
Organization
Contact information
Practice address
4444 76 ST, #700, EDINA, MN 55435
(612) 888-1433
Mailing address
6 RED FOREST LN, NORTH OAKS, MN 55127-6352
(612) 888-1433
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
50690
MN
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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