Pain Centers of Minnesota - Fridley, LLC

NPI #1194105841 in Fridley, Minnesota

Provider Information

NPI Number
1194105841
Entity Type
Organization
Organization Name
Pain Centers of Minnesota - Fridley, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
APM MINNESOTA MSO, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 8, 2015
Last Updated
Jun 8, 2015

Practice Location

Address
480 OSBORNE RD NE
Address 2
SUITE 260
ZIP Code
55432-2773
Phone
(763) 537-6000

Authorized Official

Name
VISHAL LAL
Title
CEO
Phone
(414) 325-7246

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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