Provider First Line Business Practice Location Address:
100 WARTBURG BLVD STE 1392
Provider Second Line Business Practice Location Address:
WARTBURG WAVERLY SPORTS AND WELLNESS CENTER
Provider Business Practice Location Address City Name:
WAVERLY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50677-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-352-8436
Provider Business Practice Location Address Fax Number:
319-352-3992
Provider Enumeration Date:
08/29/2007