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Contact Information

FAIRVIEW EXPRESS CARE
14500 99TH AVE N
STE LL200
MAPLE GROVE, MN55369-4739
 Phone: 855-324-7843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FAIRVIEW EXPRESS CARE · (Female)

NPI Number 1255105011
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2023
Last updated 02/13/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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