Minnesota Head and Neck Pain Clinic, PA

NPI #1871975607 in Plymouth, Minnesota

Provider Information

NPI Number: 1871975607
Entity Type: Organization
Organization Name: Minnesota Head and Neck Pain Clinic, PA
Primary Specialty: Specialist
Enumeration Date: Jun 29, 2015
Last Updated: Jul 17, 2024

Practice Location

Address: 3475 PLYMOUTH BLVD
Address 2: SUITE 200
City: Plymouth
State: Minnesota
ZIP Code: 55447-1499
Phone: (763) 577-2484

Authorized Official

Name: TIA A REICHERT
Title: CHRO/CLINIC ADMINISTRATOR
Phone: (763) 577-2484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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