Provider First Line Business Practice Location Address:
6845 LEE AVE N
Provider Second Line Business Practice Location Address:
MS 31400A HEALTHPARTNERS BROOKLYN CENTER CLINIC
Provider Business Practice Location Address City Name:
BROOKLYN CENTER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55429-1717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-569-4400
Provider Business Practice Location Address Fax Number:
763-569-0311
Provider Enumeration Date:
02/02/2006