Provider First Line Business Practice Location Address:
2512 SOUTH 7TH STREET
Provider Second Line Business Practice Location Address:
PEDIATRIC SPECIALTY CARE - 7TH STREET
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55454-1404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-365-6777
Provider Business Practice Location Address Fax Number:
612-624-1446
Provider Enumeration Date:
03/13/2008