Provider First Line Business Practice Location Address:
UNIVERSITY OF NORTH DAKOTA, DIVISION OF SPORTS MEDICINE
Provider Second Line Business Practice Location Address:
HYSLOP SPORTS CENTER ROOM 144, 2751 2ND AVE. N STOP9013
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58202-9013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-777-3177
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/03/2007