| NPI | 1053795187 |
|---|---|
| Former Legal Business Name | UMPHYSICIANS-UMMC, FAIRVIEW HEALTH SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | MARY JOHNSON Chief Operating Officer 612-884-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2020-04-30 |