OrganizationActive
Advanced Spine and Pain Clinics of Minnesota LLC
NPI 1891055851 · Pain Medicine Physician · Minneapolis, MN
Provider details
- NPI number
- 1891055851
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Thorson, President/Owner(612) 207-7463
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Spinal Cord Injury Medicine Physician2081P0004X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Practice location
2801 Wayzata Blvd
Minneapolis, MN 55405-2125
Phone: (612) 207-7463
Fax: (612) 315-4473
Approximate (ZIP-level) locationGet directions
Mailing address
2801 Wayzata Blvd
Minneapolis, MN 55405-2125
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2022-02-07
- Certified
- 2021-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.