Organization
PHOENIX CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MONSEIN (PRESIDENT)
(612) 226-6481
Entity
Organization
Contact information
Practice address
4418 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416-4814
(612) 226-6481
Mailing address
4418 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416-4814
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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