| NPI | 1508050543 |
|---|---|
| Doing Business As | FAIRVIEW CENTER FOR BLADDER CONTROL |
| Entity Type | Organization |
| Authorized Contact | DANIEL M FROMM CFO 612-672-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2014-04-22 |