DR. Andrew Fautsch, DC

NPI #1982273041 in Maple Grove, Minnesota

Provider Information

NPI Number: 1982273041
Entity Type: Individual
Name: DR. Andrew Fautsch, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jun 23, 2021
Last Updated: Jun 23, 2021

Practice Location

Address: 12670 BASS LAKE RD
City: Maple Grove
State: Minnesota
ZIP Code: 55369-6380
Phone: (877) 442-4476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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