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Organization
FAIRVIEW EXPRESS CARE
Active
Organization
FAIRVIEW EXPRESS CARE
Active
Other names
M Health Fairview Clinic - Eagan
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT)
(612) 672-6594
Entity
Organization
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR, SUITE 160, EAGAN, MN 55121-7707
(651) 405-5801
(651) 405-5801
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
12/15/2020
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