Organization
PAIN AND BRAIN HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CHARLES FORS DC (CLINIC DIRECTOR)
(763) 862-7100
Entity
Organization
Contact information
Practice address
1400 131ST AVE NE, BLAINE, MN 55449-4124
(763) 862-7100
Mailing address
1400 131ST AVE NE, BLAINE, MN 55449-4124
(763) 862-7100
(763) 862-7077
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1836
MN
Other
Enumeration date
04/17/2009
Last updated
05/01/2015
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