Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT FAIRBANKS
Active Sole ProprietorMR. ROBERT FAIRBANKS is a Bus healthcare provider located in DETROIT LAKES, Minnesota. NPI 1972146041 is currently active in the NPPES registry. Verify at CMS.
Bus · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1972146041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2019 (6.7930856830041 yrs)
- Last Updated
- Sep 30, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1502 WILLARD AVE # ADETROIT LAKES, MN, 565014324Browse MN providers · Browse ZIP 56501
- Phone
- 2188473456
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.