Provider First Line Business Practice Location Address:
MMC 292,420 DELAWARE STREET SE,
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MINNESOTA DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-626-5589
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2009