Fairfax Medical Clinic PA
NPI #1447245279 in Fairfax, Minnesota
Provider Information
- NPI Number
- 1447245279
- Entity Type
- Organization
- Organization Name
- Fairfax Medical Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Apr 20, 2008
Practice Location
Authorized Official
- Name
- THOMAS FREDERICK GILLES, MD
- Title
- PHYSICIAN
- Phone
- (507) 426-7228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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