Provider First Line Business Practice Location Address:
1 GENERAL MILLS BLVD
Provider Second Line Business Practice Location Address:
HEALTH SERVICES DEPT.
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55426-1347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-764-3952
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2007