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Organization

FAIRVIEW CLINICS

Active
Other names
M Health Fairview Clinic - Forest Lake ISD 831
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
400 STINSON BLVD, PROVIDER ENROLLMENT, MINNEAPOLIS, MN 55413-2614
(612) 672-2258
(612) 672-6041
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/20/2016
Last updated
02/28/2025
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