Provider First Line Business Practice Location Address:
2260 THIELEN STUDENT HEALTH CENTER
Provider Second Line Business Practice Location Address:
UNION & SHELDON
Provider Business Practice Location Address City Name:
AMES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50011-2260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-294-5802
Provider Business Practice Location Address Fax Number:
515-294-5457
Provider Enumeration Date:
02/26/2007