Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced Brain and Body Clinic PLLC

Organization Specialist · NPI 1447816632

Advanced Brain and Body Clinic PLLC is a Specialist in Golden Valley, Minnesota. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 Decatur Ave N Ste 109
Golden Valley, MN 55427-4363
Phone: (605) 348-8000
Fax: (605) 716-0248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13911 Ridgedale Dr Ste 110, Minnetonka, MN 55305-1773 — (605) 348-8000

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1447816632
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Manlove — Owner · (605) 348-8000
NPI enumeratedMay 14, 2019
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address636 Saint Anne St, Rapid City, SD 57701-4694

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