Provider First Line Business Practice Location Address:
HEALTHPARTNERS SPECIALTY CENTER 401
Provider Second Line Business Practice Location Address:
401 PHALEN BLVD-MAIL STOP 41103B
Provider Business Practice Location Address City Name:
ST PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55130-5302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-254-7820
Provider Business Practice Location Address Fax Number:
651-254-7827
Provider Enumeration Date:
03/07/2006