Provider First Line Business Practice Location Address:
SAINT MICHAEL CLINIC
Provider Second Line Business Practice Location Address:
MAIN ST BOX 94
Provider Business Practice Location Address City Name:
SAINT MICHAEL
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-443-3311
Provider Business Practice Location Address Fax Number:
907-443-6412
Provider Enumeration Date:
04/02/2007