Provider First Line Business Practice Location Address:
606 24TH AVENUE SOUTH
Provider Second Line Business Practice Location Address:
MATERNAL FETAL MEDICINE CENTER
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55454
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:
05/26/2006