Provider First Line Business Practice Location Address:
2001 BLOOMINGTON AVE
Provider Second Line Business Practice Location Address:
COMMUNITY UNIVERSITY HEALTH CARE CENTER
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55404-3074
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-638-0700
Provider Business Practice Location Address Fax Number:
612-638-0755
Provider Enumeration Date:
09/15/2011