| Fairview Clinics-farmington | |
|
19685 Pilot Knob Rd Farmington MN 55024-7238 | |
| (651) 463-5100 | |
| (651) 463-5101 |
| Full Name | Fairview Clinics-farmington |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 19685 Pilot Knob Rd, Farmington, Minnesota |
| Authorized Official Name and Position | Daniel M Fromm (CFO) |
| Authorized Official Contact | 6126724976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics-farmington Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics-farmington 19685 Pilot Knob Rd Farmington MN 55024-7238 Ph: (651) 463-5100 |
| NPI Number | 1043491749 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043491749 | NPI | - | NPPES |
| 933188000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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