# FAIRVIEW EXPRESS CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M Health Fairview Pediatric Therapy - Woodbury
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700235587
- **Authorized official:** MAUREEN V RING (SYS DIR GOVT REIMB & NETWK REL)
- **Authorized official phone:** (612) 672-6740

## Contact information

- **Practice address:** 9680 TAMARACK RD, SUITE 130, WOODBURY, MN 55125-2617
- **Practice address phone:** (612) 273-1172
- **Practice address fax:** (612) 273-8490
- **Mailing address:** 1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
- **Mailing address phone:** (612) 672-6740
- **Mailing address fax:** (612) 884-3592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2016
- **Last updated:** 02/13/2025
