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Mr. Robert Fairbanks
Non-emergency Medical Transport (VAN) in Detroit Lakes, Minnesota
NPI 1972146041

Robert Fairbanks is a Non-emergency Medical Transport (VAN) based in Detroit Lakes, MN. Robert Fairbanks practices in Detroit Lakes, MN. The NPI Number for Robert Fairbanks is 1972146041 and holds a License No. (Minnesota).

The current practice location address for Robert Fairbanks is 1502 Willard Ave # A, Detroit Lakes, MN and can be reached out via phone at 218-847-3456.

Location: 1502 Willard Ave # A, Detroit Lakes, MN, 56501-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972146041
Provider Name
Robert Fairbanks
Credential
Provider Entity Type
Individual
Gender
Male
Address
1502 Willard Ave # A, Detroit Lakes, MN, 56501-4324
Phone Number
218-847-3456
Fax Number
Provider Enumeration Date
10/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A598473100 01 MN UMPI
institution
Provider Business Practice Location Address Details
Address
1502 Willard Ave # A
City
Detroit Lakes
State
Minnesota
Zip
56501-4324
Phone Number
218-847-3456
Fax Number
person
Provider Business Mailing Address Details
Address
1502 Willard Ave # A
City
Detroit Lakes
State
Minnesota
Zip
56501-4324
Phone Number
218-847-3456
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Minnesota)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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