| Andrew Fautsch, PLLC | |
|
12670 Bass Lake Rd Maple Grove MN 55369-6380 | |
| (877) 442-4476 | |
| Not Available |
| Full Name | Andrew Fautsch, PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 12670 Bass Lake Rd, Maple Grove, Minnesota |
| Authorized Official Name and Position | Andrew Mark Fautsch (PRESIDENT) |
| Authorized Official Contact | 8774424476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Fautsch, PLLC 12670 Bass Lake Rd Maple Grove MN 55369-6380 Ph: (877) 442-4476 | Andrew Fautsch, PLLC 12670 Bass Lake Rd Maple Grove MN 55369-6380 Ph: (877) 442-4476 |
| NPI Number | 1518633528 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518633528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
Partners in Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338 |
Bsc Integrated Health Center @ Weaver Lake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Scimed Pl, Maple Grove, MN 55311 Phone: 763-250-7561 |
Digestive Endoscopy, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17322 91st Ave N, Maple Grove, MN 55311 Phone: 763-416-0399 Fax: 763-416-0399 |
Yourtime Psychiatry and Medical Cannabis LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6341 Ithaca Ln N, Maple Grove, MN 55311 Phone: 612-458-3374 |
Skyline Mental Health Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10944 Quantico Ln N, Maple Grove, MN 55369 Phone: 763-445-4693 |
Park Nicollet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440 |