MEDICARE: SAEGER SPINE AND PAIN CLINICS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1265051627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAEGER SPINE AND PAIN CLINICS PA

Provider Business Mailing Address
First Line	:	7450 FRANCE AVE S STE 240
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-4792
Country	:	US
Telephone Number	:
Fax Number	:	754-212-0473

Provider Business Practice Location Address
First Line	:	7450 FRANCE AVE S STE 240
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-4792
Country	:	US
Telephone Number	:	612-353-4238
Fax Number	:	612-353-4065

Authorized Official
Title or Position	:	OWNER
Name	:	LOUIS SAEGER
Credential	:	MD
Telephone Number	:	612-353-4238

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	01/18/2021

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