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Organization

FAIRVIEW NORTHLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA WHITCOMB (REHAB ASSISTANT)
(763) 389-6420
Entity
Organization

Contact information

Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-6420
Mailing address
13854 RIVERVIEW DR NW, ELK RIVER, MN 55330-1626
(763) 441-0487

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
4410
MN

Other

Enumeration date
12/11/2006
Last updated
08/22/2020
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