Provider First Line Business Practice Location Address:
2851 UNIVERSITY AVENUE
Provider Second Line Business Practice Location Address:
DENTAL DEPT, MILO C. HUEMPFNER VA HEALTH CARE CENTER
Provider Business Practice Location Address City Name:
GREENBAY
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-316-2672
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/29/2008