Whalio Doctors

NPI 1346653052

Advanced Spine and Pain Clinics of Mn, LLC

Organisation Non-Pharmacy Dispensing Site Buffalo, MN

Practice location

Address
308 Brighton Ave Suite D, Buffalo, MN 55313-2303
Phone
(763) 595-1411
Fax
(763) 595-1412
Mailing address
7373 France Ave Suite 606, Edina, MN 55435-4552

Authorised official

Name
Matthew G Thorson
Title
Md/President
Phone
(612) 207-7463

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X

Registry record

NPI
1346653052
Entity type
Organization
NPI issued
10 Jun 2014
Record last updated
10 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.