Provider First Line Business Practice Location Address:
3931 LOUISIANA AVE S STE 400
Provider Second Line Business Practice Location Address:
PARK NICOLLET ORTHOPEDICS - MEADOWBROOK
Provider Business Practice Location Address City Name:
ST LOUIS PARK
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55426-4375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-993-3230
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2009