Organization · Type 2 NPI
Fairview Maple Grove Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Maple Grove, MN
NPI number
1346468253
Active
Practice location
14500 99th Avenue North
Maple Grove, MN 55369
Mailing address
1700 University Ave W
St. Paul, MN 55104-3727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1346468253
Fairview Maple Grove Surgery Center, LLC's National Provider Identifier is 1346468253, issued on Apr 23, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Maple Grove, MN. The record was last updated on Feb 13, 2025.