NPI | 1861041931 |
---|---|
Doing Business As | M HEALTH FAIRVIEW RIVER FALLS CLINIC MTM |
Entity Type | Organization |
Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2019-09-10 |
Last Update Date | 2023-04-13 |