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Organization

REALIEF MEDICAL, P.A.

Active
Other names
Realief Medical, P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
ALFRED V. ANDERSON M.D., D.C. (OWNER/SHAREHOLDER)
(952) 456-6160
Entity
Organization

Contact information

Practice address
1660 HIGHWAY 100 S, SUITE 229, ST LOUIS PARK, MN 55416-1529
(952) 456-6160
(952) 835-9830
Mailing address
1660 HIGHWAY 100 S, SUITE 229, ST LOUIS PARK, MN 55416-1529
(952) 456-6160
(952) 835-9830

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
24538
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396838850
NPI
MN
01
1508102500
GROUP NPI
01
C09271
GROUP MEDICARE NUMBER
Enumeration date
10/02/2006
Last updated
09/20/2013
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