Provider First Line Business Practice Location Address:
UNIVERSITY OF MINNESOTA DULUTH
Provider Second Line Business Practice Location Address:
1216 ORDEAN COURT
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55812-3032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-726-8637
Provider Business Practice Location Address Fax Number:
218-726-6529
Provider Enumeration Date:
05/17/2006