Provider Demographics
NPI:1366886566
Name:ARCADE PAIN CENTER, P.L.L.C.
Entity type:Organization
Organization Name:ARCADE PAIN CENTER, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:SLOBASKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:651-340-3546
Mailing Address - Street 1:651 ARCADE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-4518
Mailing Address - Country:US
Mailing Address - Phone:651-340-3546
Mailing Address - Fax:651-340-3549
Practice Address - Street 1:651 ARCADE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-4518
Practice Address - Country:US
Practice Address - Phone:651-340-3546
Practice Address - Fax:651-340-3549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN528822081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty