| Organization Name: | PAIN CLINICS OF MINNESOTA P.A. |
| NPI Number: | 1104286772 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMJAD A. SAFVI (MEDICAL DIRECTOR) |
| Mailing Address: | 4600 Oak Grove Parkway Brooklyn Park |
| State: | MN US |
| Postal Code: | 55443 |
| Phone Number: | 6517281867 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | 871166400024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |