| Minnesota Head & Neck Pain Clinic | |
|
622 Roosevelt Rd Saint Cloud MN 56301-6153 | |
| (763) 577-2484 | |
| (763) 577-1375 |
| Full Name | Minnesota Head & Neck Pain Clinic |
|---|---|
| Speciality | Dentist - Orofacial Pain |
| Location | 622 Roosevelt Rd, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Tia A Reichert (CHRO/CLINIC ADMIN) |
| Authorized Official Contact | 7635772484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Head & Neck Pain Clinic 3475 Plymouth Blvd Ste 200 Plymouth MN 55447-1539 Ph: (763) 577-2484 | Minnesota Head & Neck Pain Clinic 622 Roosevelt Rd Saint Cloud MN 56301-6153 Ph: (763) 577-2484 |
| NPI Number | 1003316852 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003316852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
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