Provider First Line Business Practice Location Address:
212 S. 4TH ST. SUITE 301
Provider Second Line Business Practice Location Address:
SPECTRA HEALTH
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-757-2100
Provider Business Practice Location Address Fax Number:
701-757-2813
Provider Enumeration Date:
06/25/2018