Fairview Health Services Melissa Dietrich Sarah Bishop Work Comp Interventions (612) 672-7679 (612) 672-5010 400 Stinson Boulevard NE Fax (612) 365-0396 Fax (612) 365-0396 Minneapolis, MN (Attn: Interventions) (Attn: Interventions) (1/2019) Includes all Fairview facilities [hospitals, clinics, home care, etc., also includes ***Prefer notice to be e-mailed instead of Institute for Athletic Medicine, University of by fax, if possible. If applicable, on MN Surgical Consultants, (Fairview) sheet list sites you are serving. Diagnostic Labs] (excluding Mesaba/Hibbing/Range area) Family Health Medical Clinics Laura Peterson 2000 Avenue (507) 646-1176 Northfield, MN Fax (507) 646-1486 (5/13) Family Practice Medical Center Anne Moudry Gary McDowell 502 Second Street S.W. (320) 231-8627 (320) 231-8642 P.O. Box 957 Fax (320) 231-8609 Willmar, MN 56201 Class Recoveries, Inc. (for Preferred Bill Brady One Administrative Services (952) 883-3250 7900 International Suite 300 Bloomington, MN 55425 (10/14) First Plan of MN Greg 525 S. Lake Ave. 222 P. O. Box 64560 Duluth, MN St. Paul, MN 55164 (4/06) (651) 662-6278 Fax (651) 662-1099 First Unum Life Insurance Company Jennifer 1 Fountain Square (423) 294-5673 Chattanooga, TN Fax (423) 294-2424 12/17 Firstlight Health System Kelly Caswell Lisa Wren 301 Highway 65 (320) 225-3337 (320) 225-3534 Mora, MN 55051 Fax (320) 225-3345 Fax (320) 225-3345
Fairview Health Services Work Comp Interventions 400 Stinson Boulevard NE Minneapolis, MN (1/2019) Includes all Fairview facilities [hospitals, clinics, home care, etc., also includes Institute for Athletic Medicine, University of MN Surgical Consultants, (Fairview) Diagnostic Labs] (excluding Mesaba/Hibbing/Range area) Melissa Dietrich (612) 672-7679 Fax (612) 365-0396 (Attn: Interventions) ***Prefer notice to be e-mailed instead of by fax, if possible. If applicable, on sheet list sites you are serving. Sarah Bishop (612) 672-5010 Fax (612) 365-0396 (Attn: Interventions) Family Health Medical Clinics 2000 Avenue Northfield, MN (5/13) Laura Peterson (507) 646-1176 Fax (507) 646-1486 Family Practice Medical Center 502 Second Street S.W. P.O. Box 957 Willmar, MN 56201 Anne Moudry (320) 231-8627 Fax (320) 231-8609 Gary McDowell (320) 231-8642 Class Recoveries, Inc. (for Preferred One Administrative Services 7900 International Suite 300 Bloomington, MN 55425 (10/14) Bill Brady (952) 883-3250 First Plan of MN 525 S. Lake Ave. 222 Duluth, MN (4/06) Greg P. O. Box 64560 St. Paul, MN 55164 (651) 662-6278 Fax (651) 662-1099 First Unum Life Insurance Company 1 Fountain Square Chattanooga, TN 12/17 Jennifer (423) 294-5673 Fax (423) 294-2424 Firstlight Health System 301 Highway 65 Mora, MN 55051 Kelly Caswell (320) 225-3337 Fax (320) 225-3345 Lisa Wren (320) 225-3534 Fax (320) 225-3345
intervenor-master-list_tcm19-71510.docx