Pain Relief and Wellness of Minnesota
NPI #1679863773 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1679863773
- Entity Type
- Organization
- Organization Name
- Pain Relief and Wellness of Minnesota
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- Apr 11, 2011
- Last Updated
- Feb 13, 2014
Practice Location
- Address
- 4721 CLARK AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3221
- Phone
- (651) 249-0454
Authorized Official
- Name
- DR. ADAM JASON LOCKETZ, MD
- Title
- OWNER/MD
- Phone
- (651) 249-0454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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