| NPI | 1790977486 |
|---|---|
| Doing Business As | FAIRVIEW CLINICS-BASS LAKE |
| Entity Type | Organization |
| Authorized Contact | MAUREEN RING Director Network Relations AO 612-672-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2023-10-04 |