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Interventional Pain & Physical Medicine Clinic

NPI #1710230800 in Sartell, Minnesota

Provider Information

NPI Number
1710230800
Entity Type
Organization
Organization Name
Interventional Pain & Physical Medicine Clinic
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 26, 2012
Last Updated
Oct 26, 2012

Practice Location

Address
2301 CONNECTICUT AVE S
City
Sartell
State
Minnesota
ZIP Code
56377-2474
Phone
(320) 229-1500

Authorized Official

Name
STACY KOWALKOWSKI
Title
ADMINISTRATOR
Phone
(320) 229-1500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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