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Revive Md Pllc
Substance Use Disorder Rehabilitation Clinic/Center in Saint Paul, Minnesota
NPI 1346832953

Revive Md Pllc is a Substance Use Disorder Rehabilitation Clinic/Center based in Woodbury, MN and is specialized in Rehabilitation, Substance Use Disorder. Revive Md Pllc practices in Saint Paul, MN. The NPI Number for Revive Md Pllc is 1346832953 and holds a License No. (Minnesota).

The current practice location address for Revive Md Pllc is 821 Raymond Ave Ste 230, Saint Paul, MN and can be reached out via phone at 651-746-4412.

Location: 821 Raymond Ave Ste 230, Saint Paul, MN, 55125-2569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346832953
Provider Name
Revive Md Pllc
Credential
Provider Entity Type
Organization
Address
821 Raymond Ave Ste 230, Saint Paul, MN, 55125-2569
Phone Number
651-746-4412
Fax Number
Provider Enumeration Date
02/04/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
821 Raymond Ave Ste 230
City
Saint Paul
State
Minnesota
Zip
55114-1503
Phone Number
651-746-4412
Fax Number
person
Provider Business Mailing Address Details
Address
821 Raymond Ave Ste 230
City
Saint Paul
State
Minnesota
Zip
55114-1503
Phone Number
651-746-4412
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
()
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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