Provider First Line Business Practice Location Address:
USAMEDDAC WUERZBURG -PRACTICE LOCATION(VILSECK H.C.)
Provider Second Line Business Practice Location Address:
CREDENTIALS UNIT 26610
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09244
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
011499318043616
Provider Business Practice Location Address Fax Number:
011499318043241
Provider Enumeration Date:
06/26/2007