Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Spine and Pain Clinics of Minnesota LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1891055851

Advanced Spine and Pain Clinics of Minnesota LLC provides Pain Medicine (Anesthesiology) Physician services in Minneapolis, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 Wayzata Blvd
Minneapolis, MN 55405-2125
Phone: (612) 207-7463
Fax: (612) 315-4473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1891055851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Thorson — President/Owner · (612) 207-7463
NPI enumeratedMay 24, 2012
Last updated in NPPESFebruary 7, 2022
Certification dateApril 29, 2021
Mailing address2801 Wayzata Blvd, Minneapolis, MN 55405-2125

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