Organization
FAIRVIEW CLINICS
Active
Other names
Fairview Center for Bladder Control
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
501 E NICOLLET BLVD, STE 120, BURNSVILLE, MN 55337-6732
(952) 460-4130
(952) 460-4131
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188492000
—
MN
Enumeration date
09/04/2007
Last updated
02/28/2025
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