Provider First Line Business Practice Location Address:
2615 EAST FRANKLIN AVE
Provider Second Line Business Practice Location Address:
UFP SMILEY'S CLINIC, UNIVERSITY OF MINNESOTA PHYSICIANS
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-333-0770
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2006