Fairview Subsidiary Iii

NPI 1871652362 - Clinic/Center - 261Q00000X

NPI Details
NPI 1871652362
Enumeration Date 12/08/2006
Last Updated 01/21/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANIEL M DANIEL
Position CFO
Phone (763) 389-7686
Fax
Practice Location
19425 EVANS ST NW
ELK RIVER MN, 55330-1074, US
Phone (763) 389-7686
Fax
Business Location
PO BOX 9372
MINNEAPOLIS MN, 55440-9372, US
Phone (612) 672-6724
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Fairview Subsidiary Iii NPI is 1871652362, taxonomy code is 261Q00000X Fairview Subsidiary Iii physically located at 19425 Evans St Nw, Elk River MN, 55330-1074. NPI Number 1033115704 has the healthcare provider type.

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1871652362 NPI number is provided on an as is basis without warranty of any kind. 1871652362 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Subsidiary Iii are for informational purposes only.