Provider First Line Business Practice Location Address:
7945 STONE CREEK DR. SUITE 130
Provider Second Line Business Practice Location Address:
STONE CREEK PSYCHIATRY
Provider Business Practice Location Address City Name:
CHANHASSEN
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-241-4050
Provider Business Practice Location Address Fax Number:
952-241-4049
Provider Enumeration Date:
07/18/2006