Provider First Line Business Practice Location Address:
1 VETERANS DR
Provider Second Line Business Practice Location Address:
MINNEAPOLIS VA MEDICAL CENTER (111E)
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55417-2309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-467-4135
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2006