Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Spine and Pain Clinics of Minnesota LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1891055851

Advanced Spine and Pain Clinics of Minnesota LLC is a Pain Medicine (Anesthesiology) Physician in Minneapolis, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 Wayzata Blvd
Minneapolis, MN 55405-2125
Phone: (612) 207-7463
Fax: (612) 315-4473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1891055851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Thorson — President/Owner · (612) 207-7463
NPI enumeratedMay 24, 2012
Last updated in NPPESFebruary 7, 2022
Certification dateApril 29, 2021
Mailing address2801 Wayzata Blvd, Minneapolis, MN 55405-2125

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