| Andrew Fautsch, Pllc | |
|
12670 Bass Lake Rd Maple Grove MN 55369-6380 | |
| (877) 442-4476 | |
| Not Available |
| Full Name | Andrew Fautsch, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 12670 Bass Lake Rd, Maple Grove, Minnesota |
| Authorized Official Name and Position | Andrew Mark Fautsch (PRESIDENT) |
| Authorized Official Contact | 8774424476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Fautsch, Pllc 12670 Bass Lake Rd Maple Grove MN 55369-6380 Ph: (877) 442-4476 | Andrew Fautsch, Pllc 12670 Bass Lake Rd Maple Grove MN 55369-6380 Ph: (877) 442-4476 |
| NPI Number | 1518633528 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518633528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
North Memorial Health Clinic - Maple Grove Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9855 Hospital Dr, Maple Grove, MN 55369 Phone: 763-581-5800 Fax: 763-581-5801 | |
Partners In Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338 | |
Digestive Endoscopy, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17322 91st Ave N, Maple Grove, MN 55311 Phone: 763-416-0399 Fax: 763-416-0399 | |
Yourtime Psychiatry And Medical Cannabis Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6341 Ithaca Ln N, Maple Grove, MN 55311 Phone: 612-458-3374 | |
Skyline Mental Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10944 Quantico Ln N, Maple Grove, MN 55369 Phone: 763-445-4693 | |
Park Nicollet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440 | |
Stepping Stone Support Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11901 Central Park Way Unit 2427, Maple Grove, MN 55369 Phone: 267-577-2718 |