Unknown Individual – Interventional Pain Medicine Physician, NPI 1275560476
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2104 NORTHDALE BLVD NW
SUITE 220
MINNEAPOLIS, MN 55433
Phone: (763) 537-6000
Fax: (763) 537-6666
Type: Mailing
M Health Fairview Midway Campus, 1700, University Avenue, Iris Park, Union Park, Saint Paul, Ramsey County, Minnesota, 55104, United States
ST PAUL, MN 55104
Phone: (763) 537-6000
Fax: (763) 537-6666
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55433)
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