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Organization

FAIRVIEW HEALTH SERVICES

Active
Other names
Fairview Wyoming Orthotics and Prosthetics, Fairview Orthotics and Prosthetics, Fairview Orthotics and Prosthetics
Organization subpart
No

Provider details

NPI number
Authorized official
JILL MARIE MCCARTNEY (SYSTEM EXECUTIVE HME O&P)
(651) 632-9835
Entity
Organization

Contact information

Practice address
5130 FAIRVIEW BLVD, SUITE 103, WYOMING, MN 55092
(651) 982-7006
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
03/26/2013
Last updated
07/23/2026
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