Provider First Line Business Practice Location Address:
200 OAK ST SE, 160 MCNAMARA MCNAMARA
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
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:
612-624-9220
Provider Business Practice Location Address Fax Number:
612-624-0997
Provider Enumeration Date:
05/26/2006