| Interventional Pain Center, Pllc. | |
|
10653 Wayzata Blvd Suite 200 Minnetonka MN 55305-1528 | |
| (952) 236-7610 | |
| (952) 426-0674 |
| Full Name | Interventional Pain Center, Pllc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 10653 Wayzata Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | David K Ketroser (OWNER) |
| Authorized Official Contact | 9522367610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Pain Center, Pllc. 10653 Wayzata Blvd Suite 200 Minnetonka MN 55305-1528 Ph: (952) 236-7610 | Interventional Pain Center, Pllc. 10653 Wayzata Blvd Suite 200 Minnetonka MN 55305-1528 Ph: (952) 236-7610 |
| NPI Number | 1891137220 |
|---|---|
| Provider Enumeration Date | 07/26/2013 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891137220 | NPI | - | NPPES |
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