Minnesota Head and Neck Pain Clinic, PA

NPI #1104850155 in St Paul, Minnesota

Provider Information

NPI Number: 1104850155
Entity Type: Organization
Organization Name: Minnesota Head and Neck Pain Clinic, PA
Primary Specialty: Specialist
Enumeration Date: Jul 10, 2006
Last Updated: Jul 17, 2024

Practice Location

Address: 2550 UNIVERSITY AVE W
Address 2: STE 189S
City: St Paul
State: Minnesota
ZIP Code: 55114
Phone: (651) 332-7474

Authorized Official

Name: MS. TIA A REICHERT
Title: CHRO/CLINIC ADMINISTRATOR
Phone: (763) 577-2484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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