| NPI | 1316191570 |
|---|---|
| Doing Business As | M HEALTH FAIRVIEW CLINIC - MILACA |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Managment 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2020-10-26 |