Provider First Line Business Practice Location Address:
715 SOUTH 8TH STREET
Provider Second Line Business Practice Location Address:
HCMC CLINIC AND SPECIALTY CENTER
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55404-1210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-230-3181
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/24/2007