| NPI | 1902311210 |
|---|---|
| Other Name | M HEALTH FAIRVIEW NEUROLOGY CLINIC - MAPLEWOOD |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2020-11-10 |