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

Minnesota Head and Neck Pain Clinic, PA

Organization Specialist · NPI 1104850155

Minnesota Head and Neck Pain Clinic, PA provides Specialist services in St Paul, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2550 University Ave W Ste 189S
St Paul, MN 55114
Phone: (651) 332-7474
Fax: (651) 332-7475
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1104850155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tia Reichert — Chro/Clinic Administrator · (763) 577-2484
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address3475 Plymouth Blvd Ste 200, Plymouth, MN 55447-1539

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