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Organization

FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN V RING (SYS DIR GOVT REIMB & NETWK REL)
(612) 672-6740
Entity
Organization

Contact information

Practice address
14500 99TH AVENUE NORTH, MAPLE GROVE, MN 55369
(763) 898-1424
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
04/23/2007
Last updated
02/13/2025
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