| Fairview Clinics - Riverside | |
|
606 24th Ave S Ste 700 Minneapolis MN 55454-1455 | |
| (612) 672-2450 | |
| (612) 332-1537 |
| Full Name | Fairview Clinics - Riverside |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 606 24th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Daniel M Fromm (CFO) |
| Authorized Official Contact | 6126724976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Clinics - Riverside Po Box 9372 Minneapolis MN 55440-9372 Ph: (612) 672-6724 | Fairview Clinics - Riverside 606 24th Ave S Ste 700 Minneapolis MN 55454-1455 Ph: (612) 672-2450 |
| NPI Number | 1598072183 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598072183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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