Provider First Line Business Practice Location Address:
7200 VALLEY CREEK PLAZA
Provider Second Line Business Practice Location Address:
TARGET CLINIC WOODBURY
Provider Business Practice Location Address City Name:
WOODBURY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-735-7083
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/25/2006