Provider First Line Business Practice Location Address:
303 ELM STREET
Provider Second Line Business Practice Location Address:
COMMUNTIY HEALTH
Provider Business Practice Location Address City Name:
ODANAH
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54861
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-682-7111
Provider Business Practice Location Address Fax Number:
715-685-7857
Provider Enumeration Date:
04/11/2011