Organization
NEISEN PAIN CLINIC LLC
Active
Organization
NEISEN PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA ALAMA (ADMINISTRATOR)
(763) 595-1411
Entity
Organization
Contact information
Practice address
302 BRIGHTON AVE S, BUFFALO, MN 55313-2422
(763) 595-1411
(763) 595-1412
Mailing address
302 BRIGHTON AVE S, BUFFALO, MN 55313-2422
(763) 595-1411
(763) 595-1412
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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