Provider First Line Business Practice Location Address:
200 FIRST ST WEST
Provider Second Line Business Practice Location Address:
PAYNESVILLE AREA HEALTH CARE SYSTEMS
Provider Business Practice Location Address City Name:
PAYNESVILLE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-243-7330
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2007