Provider First Line Business Practice Location Address:
17 W EXCHANGE ST
Provider Second Line Business Practice Location Address:
622 METROPOLITAN OB AND GYN
Provider Business Practice Location Address City Name:
ST PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-227-9141
Provider Business Practice Location Address Fax Number:
651-265-6772
Provider Enumeration Date:
10/13/2006