| NPI | 1134773419 |
|---|---|
| Doing Business As | M HEALTH FAIRVIEW WALK IN CLINIC MALL OF AMERICA |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-09-05 |