Provider First Line Business Practice Location Address:
201 9TH STREET WEST
Provider Second Line Business Practice Location Address:
BRIDGES MEDICAL CENTER
Provider Business Practice Location Address City Name:
ADA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-784-2727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2006