Organization
SOUTH
Active
Other names
Fairmont ASC
Organization subpart
No
Provider details
NPI number
Authorized official
COREY T WELCHLIN DO (OWNER PRESIDENT)
(507) 238-4949
Entity
Organization
Contact information
Practice address
717 S STATE ST, STE 1000, FAIRMONT, MN 56031-4469
(507) 235-3939
Mailing address
717 S STATE ST, STE 900, FAIRMONT, MN 56031-4469
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
10/16/2023
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