Organization
ADVANCED SPINE AND PAIN CLINICS OF MN, LLC
Active
Organization
ADVANCED SPINE AND PAIN CLINICS OF MN, LLC
Active
Parent organization
ADVANCED SPINE AND PAIN CLINICS OF MINNESOTA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED SPINE AND PAIN CLINICS OF MINNESOTA, LLC
Authorized official
MATTHEW G THORSON MD (MD/PRESIDENT)
(612) 207-7463
Entity
Organization
Contact information
Practice address
308 BRIGHTON AVE, SUITE D, BUFFALO, MN 55313-2303
(763) 595-1411
(763) 595-1412
Mailing address
7373 FRANCE AVE, SUITE 606, EDINA, MN 55435-4552
(612) 207-7463
(952) 831-0276
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
MN
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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