Provider First Line Business Practice Location Address:
FAIRVIEW GERIATRIC SERVICES
Provider Second Line Business Practice Location Address:
7505 METRO BLVD SUITE 100
Provider Business Practice Location Address City Name:
EDINA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-247-1366
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2006