Provider First Line Business Practice Location Address:
ISU THIELEN STUDENT HEALTH CENTER
Provider Second Line Business Practice Location Address:
2647 UNION DRIVE
Provider Business Practice Location Address City Name:
AMES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50011-2029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-294-5801
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2005