Provider First Line Business Practice Location Address:
6525 FRANCE AVE S
Provider Second Line Business Practice Location Address:
PAUL LARSON OB GYN CLINIC STE 100
Provider Business Practice Location Address City Name:
EDINA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55435-3624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-927-4021
Provider Business Practice Location Address Fax Number:
952-285-6183
Provider Enumeration Date:
03/01/2006