| NPI | 1346432218 |
|---|---|
| Doing Business As | FAIRVIEW CLINICS-HIAWATHA |
| 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 |