Northwest Spine and Pain Center of St. Michael, PA
NPI #1609995877 in Saint Michael, Minnesota
Provider Information
- NPI Number
- 1609995877
- Entity Type
- Organization
- Organization Name
- Northwest Spine and Pain Center of St. Michael, PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Feb 2, 2009
Practice Location
- Address
- 1 CENTRAL AVE W
- Address 2
- SUITE 201
- City
- Saint Michael
- State
- Minnesota
- ZIP Code
- 55376-4591
- Phone
- (763) 497-0899
Authorized Official
- Name
- DR. CHAD JEFFREY MATTILA, D.C.
- Title
- CEO
- Phone
- (763) 497-0899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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