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NPI Profile for INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA in MAPLE GROVE, MN.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Preventive Medicine/Occupational-Environmental Medicine |
2083P0500X | 84 | Physician/Preventive Medicine |
| NPI Number | 1326398561 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/14/2012 | |
| Last updated | 05/10/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA