OrganizationActive
Interventional Pain & Physical Medicine Clinic
NPI 1184978280 · Ambulatory Surgical Clinic/Center · Sartell, MN
Provider details
- NPI number
- 1184978280
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Kowalkowski, Administrator(320) 229-1500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2301 Connecticut Ave S
Sartell, MN 56377-2474
Phone: (320) 229-1500
Fax: (320) 229-1505
Approximate (ZIP-level) locationGet directions
Mailing address
2301 Connecticut Ave S
Sartell, MN 56377-2474
Registry dates
- Enumerated
- 2012-10-29
- Last updated
- 2012-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.