Organization
PELVIC FLOOR CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAUL SPENCER MD (PRESIDENT CEO)
(651) 225-7800
Entity
Organization
Contact information
Practice address
2800 CHICAGO AVE S, SUITE 300, MINNEAPOLIS, MN 55407-1353
(651) 225-7800
(651) 312-1570
Mailing address
3433 BROADWAY ST NE, SUITE 115, MINNEAPOLIS, MN 55413-1740
(651) 312-1520
(651) 312-1593
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353617300
—
MN
Enumeration date
06/02/2006
Last updated
04/28/2017
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