Provider First Line Business Practice Location Address:
515 S MOORE STREET
Provider Second Line Business Practice Location Address:
UNITED HOSPITAL DISTRICT
Provider Business Practice Location Address City Name:
BLUE EARTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-251-3385
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2007