Advanced Spine and Pain Clinics of Mn, LLC

NPI #1346653052 in Buffalo, Minnesota

Provider Information

NPI Number: 1346653052
Entity Type: Organization
Organization Name: Advanced Spine and Pain Clinics of Mn, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED SPINE AND PAIN CLINICS OF MINNESOTA, LLC
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 308 BRIGHTON AVE
Address 2: SUITE D
City: Buffalo
State: Minnesota
ZIP Code: 55313-2303
Phone: (763) 595-1411

Authorized Official

Name: MATTHEW G THORSON, MD
Title: MD/PRESIDENT
Phone: (612) 207-7463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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