Provider First Line Business Practice Location Address:
UNIVERSITY OF WISCONSIN-LA CROSSE, 1725 STATE STREET
Provider Second Line Business Practice Location Address:
2106 CENTENNIAL HALL
Provider Business Practice Location Address City Name:
LA CROSSE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54601-3742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-785-8073
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2017