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1518633528
ANDREW FAUTSCH, PLLC
MAPLE GROVE, MN
NPI
1518633528
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Entity Type
Organization
Authorized Contact
ANDREW MARK FAUTSCH
President
877-442-4476
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2021-08-19
Last Update Date
2021-08-19
Business Address
ANDREW FAUTSCH, PLLC
12670 BASS LAKE RD
MAPLE GROVE, MN 55369-6380
Phone number: 877-442-4476
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Mailing Address
ANDREW FAUTSCH, PLLC
12670 BASS LAKE RD
MAPLE GROVE, MN 55369-6380
Phone number: 877-442-4476
Copy
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