| Organization Name: | HENNEPIN FACULTY ASSOCIATES |
| NPI Number: | 1063459485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE R FOSBURY (PRESIDENT) |
| Mailing Address: | 914 S 8th St S4 Minneapolis |
| State: | MN US |
| Postal Code: | 554041210 |
| Phone Number: | 6123476450 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |