| Neisen Pain Clinic Llc | |
|
302 Brighton Ave S Buffalo MN 55313-2422 | |
| (763) 595-1411 | |
| (763) 595-1412 |
| Full Name | Neisen Pain Clinic Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 302 Brighton Ave S, Buffalo, Minnesota |
| Authorized Official Name and Position | Deanna Alama (ADMINISTRATOR) |
| Authorized Official Contact | 7635951411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neisen Pain Clinic Llc 302 Brighton Ave S Buffalo MN 55313-2422 Ph: (763) 595-1411 | Neisen Pain Clinic Llc 302 Brighton Ave S Buffalo MN 55313-2422 Ph: (763) 595-1411 |
| NPI Number | 1477913168 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477913168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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