NPI | 1336331297 |
---|---|
Doing Business As | FAIRVIEW CLINICS-EDEN PRAIRIE |
Entity Type | Organization |
Authorized Contact | DANIEL M FROMM CFO 612-672-4976 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-08-15 |
Last Update Date | 2012-10-09 |