Provider First Line Business Practice Location Address:
300 WEST CONAN ST.
Provider Second Line Business Practice Location Address:
DULUTH CLINIC-ELY
Provider Business Practice Location Address City Name:
ELY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-365-7900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2006