Provider First Line Business Practice Location Address:
METHODIST HOSPITAL ADMINISTRATION
Provider Second Line Business Practice Location Address:
6500 EXCELSIOR BLVD
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-993-3791
Provider Business Practice Location Address Fax Number:
952-993-5936
Provider Enumeration Date:
12/22/2005