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

Interventional Pain & Physical Medicine Clinic

Organization Physical Medicine & Rehabilitation Physician · NPI 1013056969

Interventional Pain & Physical Medicine Clinic is a Physical Medicine & Rehabilitation Physician in Sartell, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
4

Practice location Address checks out

2301 Connecticut Ave S
Sartell, MN 56377-2474
Phone: (320) 229-1500
Fax: (320) 229-1505
Show map & directions

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

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X · Licence 41961 (MN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 41961 (MN)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 41961 (MN)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 41961 (MN)

Record details

NPI number1013056969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Kowalkowski — Administrator · (320) 229-1500
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 14, 2015
Mailing address2301 Connecticut Avenue South, Sartell, MN 56377-2474

Other providers in Sartell