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

Minnesota Pain Prevention Clinic, PA

Organization Pain Medicine Physician · NPI 1285368514

Minnesota Pain Prevention Clinic, PA provides Pain Medicine Physician services in Minneapolis, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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

3475 Plymouth Blvd Ste 200
Minneapolis, MN 55447-1539
Phone: (612) 619-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1285368514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Taylor — Administrator · (612) 296-4404
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 7, 2022
Mailing addressPo Box 120114, Saint Paul, MN 55112-0012

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