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

Interventional Spine and Pain Physicians, PA

Organization Specialist · NPI 1326398561

Interventional Spine and Pain Physicians, PA is a Specialist in Maple Grove, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
7
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9645 Grove Cir N Ste 200
Maple Grove, MN 55369
Phone: (763) 201-8191
Fax: (763) 201-8192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1326398561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Wolff — Partner · (320) 253-3243
NPI enumeratedSeptember 14, 2012
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address9645 Grove Cir N Ste 200, Maple Grove, MN 55369-4466

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