Mr. Robert Fairbanks
Mr. Robert Fairbanks is a Non-emergency Medical Transport (VAN) in Detroit Lakes, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2019
Practice location Address checks out
1502 Willard Ave # ADetroit Lakes, MN 56501-4324
Phone: (218) 847-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1038 Campbell Ave, Detroit Lakes, MN 56501-3202 — (218) 847-3456
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X (MN) |
|---|
Record details
| NPI number | 1972146041 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2019 |
| Last updated in NPPES | September 30, 2022 |
| Certification date | December 3, 2021 |
| Mailing address | 1502 Willard Ave, Detroit Lakes, MN 56501-4324 |
Other providers in Detroit Lakes
-
Health Ride Van, LLC
1240 Washington Ave, Detroit Lakes, MN 56501-3906 · (218) 847-0817
-
Lakes Medi-Van Inc
16777 Longview Dr, Detroit Lakes, MN 56501 · (800) 422-0976