Provider First Line Business Practice Location Address:
211 N LABREE AVENUE
Provider Second Line Business Practice Location Address:
MIDWEST VISION CENTERS
Provider Business Practice Location Address City Name:
THIEF RIVER FALLS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-681-5606
Provider Business Practice Location Address Fax Number:
218-681-5609
Provider Enumeration Date:
09/13/2006