Provider First Line Business Practice Location Address:
COMMUNITY MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
512 SKYLINE BOULEVARD
Provider Business Practice Location Address City Name:
CLOQUET
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-232-6929
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2015