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Organization

FAIRVIEW EXPRESS CARE

Active
Other names
Fairview Brooklyn Park Clinic (Eyewear), M Health Fairview Clinic - Brooklyn Park
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
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 572-5700
(763) 569-6200
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08316
MEDICA EYEWARE
MN
01
102326
UCARE EYEWARE
MN
01
21-08316
EYECRAFT LAB
MN
01
5C727CO
BCBS EYEWARE
MN
Enumeration date
12/11/2007
Last updated
02/13/2025
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