Organization
MINNESOTA HEAD AND NECK PAIN CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA A REICHERT (CHRO/CLINIC ADMINISTRATOR)
(763) 577-2484
Entity
Organization
Contact information
Practice address
3475 PLYMOUTH BLVD, SUITE 200, PLYMOUTH, MN 55447-1499
(763) 577-2484
(763) 577-1375
Mailing address
3475 PLYMOUTH BLVD, SUITE 200, PLYMOUTH, MN 55447-1499
(763) 577-2484
(763) 577-1375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
07/17/2024
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