Organization · Type 2 NPI

Fairview Health Services

Family Medicine Physician · Wyoming, MN

NPI number 1417037896 Active

Practice location

5200 Fairview Blvd
Wyoming, MN 55092-8013

Call (651) 982-7000 Map

Fax (651) 982-7110

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician	207P00000X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Hospitalist Physician	208M00000X	None listed
Nurse Practitioner	363L00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

185 other providers at this address

NPI record

NPI: 1417037896
Entity type: Organization (Type 2)
Issued: Oct 17, 2006
Last updated: Feb 24, 2025
Status: Active

Other names

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Fairview Lakes Regional Medical Center - Physicians · other name
Fairview Lakes Regional Medical Center - Physicians · other name

Authorized official

Maureen V Ring
Sys Dir Govt Reimb & Netwk Rel
(612) 672-6740

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417037896

Fairview Health Services's National Provider Identifier is 1417037896, issued on Oct 17, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Wyoming, MN. The record was last updated on Feb 24, 2025.