Provider First Line Business Practice Location Address:
15290 PENNOCK LN - MAIL STOP 32200A
Provider Second Line Business Practice Location Address:
HEALTHPARTNERS APPLE VALLEY CLINIC
Provider Business Practice Location Address City Name:
APPLE VALLEY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55124-7163
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-431-8500
Provider Business Practice Location Address Fax Number:
952-431-8598
Provider Enumeration Date:
04/14/2006