Provider First Line Business Practice Location Address:
27345 COUNTY HIGHWAY 34
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CALLAWAY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-845-3535
Provider Business Practice Location Address Fax Number:
218-210-9420
Provider Enumeration Date:
03/13/2026