Fairview Specialty Services
NPI #1083585731 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1083585731
- Entity Type
- Organization
- Organization Name
- Fairview Specialty Services
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 16, 2025
- Last Updated
- Sep 16, 2025
Practice Location
- Address
- 2450 RIVERSIDE AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55454-1450
- Phone
- (855) 324-7843
Authorized Official
- Name
- JOSEPH CHARLES GAYLORD
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (612) 672-6119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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