Provider First Line Business Practice Location Address:
255 SMITH AVE N
Provider Second Line Business Practice Location Address:
SUITE 100 UNITED MEDICAL SPECIALTIES ST PAUL
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55102-2572
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-241-5000
Provider Business Practice Location Address Fax Number:
651-241-7678
Provider Enumeration Date:
01/12/2006