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ANDREW FAUTSCH, PLLC
NPI 1518633528
Clinic/Center in Maple Grove, MN

Active since August 19, 2021
12670 BASS LAKE RD, MAPLE GROVE, MN 55369(877) 442-4476 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Fautsch, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW FAUTSCH, PLLC (NPI 1518633528) is a healthcare organization registered as a clinic/center in Maple Grove, Minnesota and active in the NPI registry since August 2021. The organization lists Andrew Mark Fautsch, President, as its authorized official.

NPPES Registry Identity

NPI1518633528
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameANDREW FAUTSCH, PLLC
Location Address12670 BASS LAKE RDMaple Grove, MN 55369-6380
Mailing Address12670 Bass Lake RdMaple Grove, MN 55369-6380 · (877) 442-4476
Phone(877) 442-4476
Organization SubpartNo
Authorized OfficialAndrew Mark FautschPresident · (877) 442-4476
Enumeration DateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1518633528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
12670 BASS LAKE RD, Maple Grove, MN 55369
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW FAUTSCH DC
Chiropractor
12670 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (877) 442-4476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Fautsch, PLLC's NPI number?

The NPI number for Andrew Fautsch, PLLC is 1518633528. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Andrew Fautsch, PLLC located?

Andrew Fautsch, PLLC is located at 12670 Bass Lake Rd, Maple Grove, MN 55369. The listed phone number is (877) 442-4476.

What is Andrew Fautsch, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Andrew Fautsch, PLLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.