| NPI | 1386193613 |
|---|---|
| Doing Business As | M HEALTH FAIRVIEW PAIN CLINIC - LAKES |
| Doing Business As | FAIRVIEW PAIN MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-10-19 |