FAIRVIEW
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1740143866- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2450 RIVERSIDE AVE STE MN213, MINNEAPOLIS, MN, 554541450
- Phone
- (612) 273-3000
Specialties & Taxonomies
Physician Assistant
Primary
All Addresses
MAILING
2450 RIVERSIDE AVE STE MN213
MINNEAPOLIS, MN, 554541450