Provider First Line Business Practice Location Address:
1900 CENTRACARE CIR # 2300
Provider Second Line Business Practice Location Address:
CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMEN'S H
Provider Business Practice Location Address City Name:
SAINT CLOUD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56303-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-654-3630
Provider Business Practice Location Address Fax Number:
320-654-3657
Provider Enumeration Date:
10/23/2012