Whalio Doctors

NPI 1376166496

Central Medical Wellness INC

Organisation Pain Medicine Physician Saint Paul, MN

Practice location

Address
821 Raymond Ave STE 230, Saint Paul, MN 55114-1503
Phone
(651) 746-4412
Fax
(651) 647-1647
Mailing address
7595 Currell Blvd Unit 25404, Woodbury, MN 55125-2569

Authorised official

Name
Alfonso Morales-Utrilla
Title
Medical Director
Phone
(612) 730-5196

Registered specialties (2)

Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X
Addiction Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0401X

Registry record

NPI
1376166496
Entity type
Organization
NPI issued
22 May 2020
Record last updated
22 May 2020

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.