Provider First Line Business Practice Location Address:
ALTRU PROFESSIONAL CENTER
Provider Second Line Business Practice Location Address:
4440 S WASHINGTON ST
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:
615-322-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2019