| NPI | 1548718588 |
|---|---|
| Doing Business As | M HEALTH FAIRVIEW CLINIC - FOREST LAKE ISD 831 |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2020-10-26 |