Provider First Line Business Practice Location Address:
1 MINNI TOHE DR
Provider Second Line Business Practice Location Address:
MINNE TOHE HEALTH CENTER
Provider Business Practice Location Address City Name:
NEW TOWN
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58763-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-627-4701
Provider Business Practice Location Address Fax Number:
701-627-2810
Provider Enumeration Date:
12/04/2006