| Institute For Low Back & Neck Care | |
|
15700 37th Ave N Suite 210 Plymouth MN 55446-3399 | |
| (952) 814-6600 | |
| Not Available |
| Full Name | Institute For Low Back & Neck Care |
|---|---|
| Speciality | Clinic/center |
| Location | 15700 37th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | Patrick Wilfred Justin (DIRECTOR OF SURGERY CENTER) |
| Authorized Official Contact | 9528146600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Low Back & Neck Care 3001 Metro Dr Suite 330 Bloomington MN 55425-4506 Ph: (952) 814-6600 | Institute For Low Back & Neck Care 15700 37th Ave N Suite 210 Plymouth MN 55446-3399 Ph: (952) 814-6600 |
| NPI Number | 1447287370 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447287370 | NPI | - | NPPES |
| 310032400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 24C0001052 (Minnesota) | Primary |
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