Provider First Line Business Practice Location Address:
516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A
Provider Second Line Business Practice Location Address:
UMP TRANSPLANT & MEDICINE SPECIALTIES
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-884-0649
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2008