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INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA

Specialist

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.

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Contact Information

INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
9645 GROVE CIR N STE 200
MAPLE GROVE, MN  55369
 Phone: 763-201-8191
 Fax: 763-201-8192
 Website:
 

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
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA

NPI Number 1326398561
LBN Legal business name INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
Authorized official JASON WOLFF - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2012
Last updated 05/10/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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