NPI | 1235192006 |
---|---|
Doing Business As | FAIRVIEW ORTHOTICS AND PROSTHETICS |
Entity Type | Organization |
Authorized Contact | MAUREEN RING Director Network Relations AO 612-672-6740 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2006-04-11 |
Last Update Date | 2024-09-23 |