Provider First Line Business Practice Location Address:
ALTRU CANCER CENTER
Provider Second Line Business Practice Location Address:
960 S. COLUMBIA ROAD
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58201-4036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-780-5000
Provider Business Practice Location Address Fax Number:
304-781-5139
Provider Enumeration Date:
01/19/2016