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

Fairview Health Services

Organization Emergency Medicine Physician · NPI 1417037896

Fairview Health Services is an Emergency Medicine Physician in Wyoming, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
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Practice location Address checks out

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone: (651) 982-7000
Fax: (651) 982-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Hospitalist Physician Taxonomy 208M00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1417037896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maureen Ring — Sys Dir Govt Reimb & Netwk Rel · (612) 672-6740
Other names Fairview Lakes Regional Medical Center - Physicians; Fairview Lakes Regional Medical Center - Physicians
NPI enumeratedOctober 17, 2006
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address1700 University Ave W, Saint Paul, MN 55104-3727

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