| NPI | 1598072183 |
|---|---|
| Doing Business As | FAIRVIEW CLINICS - RIVERSIDE |
| Entity Type | Organization |
| Authorized Contact | DANIEL M FROMM CFO 612-672-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2011-11-01 |