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Andrew Fautsch, Pllc
Clinic/Center in Maple Grove, Minnesota
NPI 1518633528

Andrew Fautsch, Pllc is a Clinic/Center based in Maple Grove, MN. Andrew Fautsch, Pllc practices in Maple Grove, MN. The NPI Number for Andrew Fautsch, Pllc is 1518633528 and holds a License No. (Minnesota).

The current practice location address for Andrew Fautsch, Pllc is 12670 Bass Lake Rd, Maple Grove, MN and can be reached out via phone at 877-442-4476. You can also correspond with Andrew Fautsch, Pllc through the mailing address at 12670 BASS LAKE RD, MAPLE GROVE, MN - 55369-6380 (mailing address contact number: 877-442-4476).

Location: 12670 Bass Lake Rd, Maple Grove, MN, 55369-6380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518633528
Provider Name
Andrew Fautsch, Pllc
Credential
Provider Entity Type
Organization
Address
12670 Bass Lake Rd, Maple Grove, MN, 55369-6380
Phone Number
877-442-4476
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12670 Bass Lake Rd
City
Maple Grove
State
Minnesota
Zip
55369-6380
Phone Number
877-442-4476
Fax Number
person
Provider Business Mailing Address Details
Address
12670 Bass Lake Rd
City
Maple Grove
State
Minnesota
Zip
55369-6380
Phone Number
877-442-4476
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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