NPI | 1356524540 |
---|---|
Doing Business As | M HEALTH FAIRVIEW CLINIC - ANDOVER |
Doing Business As | FAIRVIEW ANDOVER CLINIC (EYEWEAR) |
Entity Type | Organization |
Authorized Contact | MAUREEN V RING Sys Dir Govt Reimb & Netwk Rel 612-672-6740 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2025-02-13 |