Provider First Line Business Practice Location Address:
2512 SOUTH 7TH STREET, FIRST FLOOR, R102
Provider Second Line Business Practice Location Address:
UNIVERSITY ORTHOPEADICS
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-884-0649
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/04/2007