Interventional Spine and Pain Physicians, PA

NPI #1326398561 in Maple Grove, Minnesota

Provider Information

NPI Number: 1326398561
Entity Type: Organization
Organization Name: Interventional Spine and Pain Physicians, PA
Primary Specialty: Specialist
Enumeration Date: Sep 14, 2012
Last Updated: May 10, 2021

Practice Location

Address: 9645 GROVE CIR N STE 200
City: Maple Grove
State: Minnesota
ZIP Code: 55369
Phone: (763) 201-8191

Authorized Official

Name: JASON S WOLFF
Title: PARTNER
Phone: (320) 253-3243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Physical Medicine & Rehabilitation	208100000X
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine	2083P0500X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Specialist	174400000X	Primary

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