Organization · Type 2 NPI

Fairview Health Services

Prosthetic/Orthotic Supplier · Blaine, MN

NPI number 1396708038 Active

Practice location

10961 Club West Pkwy NE, Ste 220
Blaine, MN 55449-5866

Fax (763) 852-6402

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

2 other providers at this address

About NPI 1396708038

Fairview Health Services's National Provider Identifier is 1396708038, issued on Apr 11, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Blaine, MN. The record was last updated on Jul 23, 2026.