Provider First Line Business Practice Location Address:
639 W KEMP ST
Provider Second Line Business Practice Location Address:
RHINELANDER VA CLINIC
Provider Business Practice Location Address City Name:
RHINELANDER
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54501-3879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-362-4080
Provider Business Practice Location Address Fax Number:
715-362-4077
Provider Enumeration Date:
07/12/2006