| NPI | 1114374469 |
|---|---|
| Doing Business As | FAIRMONT ASC |
| Entity Type | Organization |
| Authorized Contact | COREY T WELCHLIN Owner President 507-238-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-10-16 |