Fairview
NPI #1740143866 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1740143866
- Entity Type
- Organization
- Organization Name
- Fairview
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 5, 2025
- Last Updated
- Dec 5, 2025
Practice Location
- Address
- 2450 RIVERSIDE AVE STE MN213
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55454-1450
- Phone
- (612) 273-3000
Authorized Official
- Name
- KAITLIN JANE GOULET
- Title
- PHYSICIAN ASSISTANT
- Phone
- (651) 270-6699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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