Provider First Line Business Practice Location Address:
433 ELM ST N
Provider Second Line Business Practice Location Address:
CENTRACARE CLINIC - SAUK CENTRE
Provider Business Practice Location Address City Name:
SAUK CENTRE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56378
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-352-6591
Provider Business Practice Location Address Fax Number:
320-352-5164
Provider Enumeration Date:
06/22/2006