| NPI | 1841472644 |
|---|---|
| Other Name | M HEALTH FAIRVIEW CLINIC - BROOKLYN PARK |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2020-11-10 |