Provider First Line Business Practice Location Address:
425 ELM ST N
Provider Second Line Business Practice Location Address:
CENTRACARE HEALTH SYSTEM-SAUK CENTRE
Provider Business Practice Location Address City Name:
SAUK CENTRE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56303-1010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-352-6591
Provider Business Practice Location Address Fax Number:
320-352-5164
Provider Enumeration Date:
06/18/2006