Pain Centers of Minnesota - Stillwater, LLC
NPI #1922487149 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1922487149
- Entity Type
- Organization
- Organization Name
- Pain Centers of Minnesota - Stillwater, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 20, 2015
- Last Updated
- Jan 6, 2017
Practice Location
- Address
- 1950 CURVE CREST BLVD W
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-5078
- Phone
- (763) 537-6000
Authorized Official
- Name
- VISHAL LAL
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (414) 325-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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