Organization
MINNESOTA INTERVENTIONAL PAIN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDREW JANIGA M.D. (OWNER)
(763) 390-1279
Entity
Organization
Contact information
Practice address
11855 ULYSSES ST NE, SUITE 240, BLAINE, MN 55434-3947
(651) 430-3800
(651) 430-3827
Mailing address
12203 ABERDEEN ST NE STE 100, BLAINE, MN 55449-5175
(763) 390-1279
(763) 390-1287
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
49158
MN
Other
Enumeration date
07/17/2007
Last updated
10/27/2010
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