| Fairview Clinics | |
|
12912 Farnham Ave N White Bear Lake MN 55110-5929 | |
| (651) 982-7718 | |
| Not Available |
| Full Name | Fairview Clinics |
|---|---|
| Speciality | Clinic/center |
| Location | 12912 Farnham Ave N, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Robert Andrew Mccoy (VP REVENUE MANAGEMENT) |
| Authorized Official Contact | 6126726594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics 400 Stinson Blvd Minneapolis MN 55413-2613 Ph: (612) 672-2258 | Fairview Clinics 12912 Farnham Ave N White Bear Lake MN 55110-5929 Ph: (651) 982-7718 |
| NPI Number | 1245875293 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245875293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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