Provider First Line Business Practice Location Address:
ISU THOMAS B THIELEN STUDENT HEALTH CTR
Provider Second Line Business Practice Location Address:
UNION & SHELDON DR
Provider Business Practice Location Address City Name:
AMES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50011-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-294-5801
Provider Business Practice Location Address Fax Number:
515-294-7180
Provider Enumeration Date:
12/15/2006