Provider First Line Business Practice Location Address:
1020 WEST BROADWAY
Provider Second Line Business Practice Location Address:
UMP BROADWAY FAMILY MEDICINE
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-302-8200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006