Organization
ILBNC, P.A.
Active
Other names
Institute for Low Back & Neck Care
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WILFRED JUSTIN R.N. (DIRECTOR OF SURGERY CENTER)
(952) 814-6600
Entity
Organization
Contact information
Practice address
15700 37TH AVENUE NORTH, SUITE 210, PLYMOUTH, MN 55446-3662
(952) 814-6600
(952) 814-6700
Mailing address
3001 METRO DRIVE, SUITE 330, BLOOMINGTON, MN 55425-4506
(952) 814-6600
(952) 814-6700
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
365578
MN
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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