Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Fautsch, PLLC

Organization Clinic/Center · NPI 1518633528

Andrew Fautsch, PLLC is a Clinic/Center in Maple Grove, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12670 Bass Lake Rd
Maple Grove, MN 55369-6380
Phone: (877) 442-4476
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1518633528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Fautsch — President · (877) 442-4476
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address12670 Bass Lake Rd, Maple Grove, MN 55369-6380

Other providers in Maple Grove