Provider First Line Business Practice Location Address:
ONE VETERANS DRIVE
Provider Second Line Business Practice Location Address:
111G ENDOCRINE METABOLIC MPLS VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-467-4424
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2006