Scott J Fairbairn
Family Doctor - Geriatric Medicine
3366 Oakdale Ave N Suite 315
Robbinsdale
, Minnesota 55422-2948
Scott J Fairbairn
Family Doctor - Geriatric Medicine
3366 Oakdale Ave N Suite 315
Robbinsdale
, Minnesota 55422-2948
(763) 587-7989
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Scott J Fairbairn
- 3366 Oakdale Ave N Suite 315
- Robbinsdale, MN
- Zip : 55422-2948
- Fax : (763) 587-7989
- Phone : (763) 587-7900
Second Address
- Scott J Fairbairn
- 3366 Oakdale Ave N Suite 315
- Robbinsdale, MN
- Zip : 55422-2948
- Fax : (763) 587-7989
- Phone : (763) 587-7900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 36278 | MN |
National Provider Identifier
| NPI | 1174553747 |
|---|---|
| Provider Name | Scott J Fairbairn |
| First Address | Robbinsdale, MN 55422-2948 |
| Second Address | Robbinsdale, MN 55422-2948 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 18/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 072563300 | (05) | MN |
| F53748 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.