Cdi Fairview Eden Prairie LLC
NPI #1679512172 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1679512172
- Entity Type
- Organization
- Organization Name
- Cdi Fairview Eden Prairie LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 775 PRAIRIE CENTER DR
- Address 2
- SUITE 260
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-7314
- Phone
- (952) 345-3805
Authorized Official
- Name
- DONALD D JACOBSEN
- Title
- OFFICER ON THE BOARD SECRETARY
- Phone
- (952) 543-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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