Healthcare Provider Details
I. General information
NPI: 1265051627
Provider Name (Legal Business Name): SAEGER SPINE AND PAIN CLINICS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2020
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7450 FRANCE AVE S STE 240
EDINA MN
55435-4792
US
IV. Provider business mailing address
7450 FRANCE AVE S STE 240
EDINA MN
55435-4792
US
V. Phone/Fax
- Phone: 612-353-4238
- Fax: 612-353-4065
- Phone:
- Fax: 754-212-0473
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LOUIS
SAEGER
Title or Position: OWNER
Credential: MD
Phone: 612-353-4238