| Fairview Clinics | |
|
4151 Willowwood St Se Prior Lake MN 55372-4304 | |
| (952) 226-2600 | |
| (952) 226-2601 |
| Full Name | Fairview Clinics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4151 Willowwood St Se, Prior Lake, Minnesota |
| Authorized Official Name and Position | Maureen V Ring (SYS DIR GOVT REIMB & NETWK REL) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics 1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 | Fairview Clinics 4151 Willowwood St Se Prior Lake MN 55372-4304 Ph: (952) 226-2600 |
| NPI Number | 1568654341 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 02/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568654341 | NPI | - | NPPES |
| 752820514 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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