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Individual

DR. ANDREW FAUTSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
12670 BASS LAKE RD, MAPLE GROVE, MN 55369-6380
(877) 442-4476
Mailing address
12670 BASS LAKE RD, MAPLE GROVE, MN 55369-6380
(877) 442-4476

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
128031
MN

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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