| NPI | 1477889814 |
|---|---|
| Other Name | FAIRVIEW WOMEN'S CLINIC MTM |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CEO / AO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2023-03-28 |