Central Medical Clinic LLC

NPI #1437313434 in St Paul, Minnesota

Provider Information

NPI Number: 1437313434
Entity Type: Organization
Organization Name: Central Medical Clinic LLC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Jul 18, 2008
Last Updated: Jul 18, 2008

Practice Location

Address: 393 N DUNLAP STREET
Address 2: SUITE LL34
City: St Paul
State: Minnesota
ZIP Code: 55104
Phone: (651) 644-6002

Authorized Official

Name: MR. MATTHEW J SWANSON
Title: PARALEGAL
Phone: (612) 922-7573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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