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Organization

FAIRVIEW EXPRESS CARE

Active
Other names
M Health Fairview Counseling Forest Lake
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT)
(612) 672-6594
Entity
Organization

Contact information

Practice address
20 LAKE ST N, STE 210, FOREST LAKE, MN 55025-2511
(612) 672-6999
(651) 464-4847
Mailing address
PO BOX 9372, MINNEAPOLIS, MN 55440-9372
(612) 672-6724

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
06/30/2009
Last updated
10/26/2020
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