| M Health Fairview Orthopedic Clinic - Blaine | |
|
10961 Club West Pkwy Ste 200 Blaine MN 55449-5866 | |
| (763) 528-2992 | |
| (763) 528-2951 |
| Full Name | M Health Fairview Orthopedic Clinic - Blaine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10961 Club West Pkwy, Blaine, 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 |
|---|---|
| M Health Fairview Orthopedic Clinic - Blaine Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | M Health Fairview Orthopedic Clinic - Blaine 10961 Club West Pkwy Ste 200 Blaine MN 55449-5866 Ph: (763) 528-2992 |
| NPI Number | 1417277294 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417277294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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