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INTERVENTIONAL PAIN CENTER, PLLC.
NPI 1891137220
Physical Medicine & Rehabilitation - Pain Medicine in Minnetonka, MN

Active since July 26, 2013
10653 WAYZATA BLVD, SUITE 200, MINNETONKA, MN 55305(952) 236-7610(952) 426-0674 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Interventional Pain Center, Pllc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL PAIN CENTER, PLLC. (NPI 1891137220) is a healthcare organization registered as a pain medicine in Minnetonka, Minnesota and active in the NPI registry since July 2013. The organization lists David K Ketroser, Owner, as its authorized official.

NPPES Registry Identity

NPI1891137220
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameINTERVENTIONAL PAIN CENTER, PLLC.
Location Address10653 WAYZATA BLVD, SUITE 200Minnetonka, MN 55305-1528
Mailing Address10653 Wayzata Blvd, Suite 200Minnetonka, MN 55305-1528 · (952) 236-7610 · Fax (952) 426-0674
Phone(952) 236-7610
Fax(952) 426-0674
Organization SubpartNo
Authorized OfficialDavid K KetroserOwner · (952) 236-7610
Enumeration DateJuly 26, 2013
Last NPPES UpdateJune 17, 2014
✔ NPI 1891137220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in MN · 44760
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedChiropractorTaxonomy 111N00000X · License 3852 (MN)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 34220 (MN)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 24316 (MN)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 42871 (MN)
10653 WAYZATA BLVD, Minnetonka, MN 55305
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXA RONAYNE
Speech-Language Pathologist
10653 WAYZATA BLVD
MINNETONKA, MN 55305
Hennepin County (612) 364-1901
MS. ERICA HILLARD
Speech-Language Pathologist
10653 WAYZATA BLVD
MINNETONKA, MN 55305
Hennepin County (612) 364-1901
SARAH DESAUTEL
Physical Therapist
10653 WAYZATA BLVD
MINNETONKA, MN 55305
Hennepin County (952) 224-1919
PW CLINICS PLLC
Chiropractor
10653 WAYZATA BLVD, SUITE 200
MINNETONKA, MN 55305
Hennepin County (952) 236-7610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interventional Pain Center, PLLC.'s NPI number?

The NPI number for Interventional Pain Center, PLLC. is 1891137220. It was assigned to this organization in the NPPES registry on July 26, 2013.

Where is Interventional Pain Center, PLLC. located?

Interventional Pain Center, PLLC. is located at 10653 Wayzata Blvd Suite 200, Minnetonka, MN 55305. The listed phone number is (952) 236-7610.

What is Interventional Pain Center, PLLC.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Interventional Pain Center, PLLC. was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.