| Pain And Brain Healing Center, Llc | |
|
1400 131st Ave Ne Blaine MN 55449-4124 | |
| (763) 862-7100 | |
| Not Available |
| Full Name | Pain And Brain Healing Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1400 131st Ave Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Gregory Charles Fors (CLINIC DIRECTOR) |
| Authorized Official Contact | 7638627100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain And Brain Healing Center, Llc 1400 131st Ave Ne Blaine MN 55449-4124 Ph: (763) 862-7100 | Pain And Brain Healing Center, Llc 1400 131st Ave Ne Blaine MN 55449-4124 Ph: (763) 862-7100 |
| NPI Number | 1184867319 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184867319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1836 (Minnesota) | Primary |
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