Provider First Line Business Practice Location Address:
425 7TH ST NW
Provider Second Line Business Practice Location Address:
CASS LAKE PHS INDIAN HOSPITAL
Provider Business Practice Location Address City Name:
CASS LAKE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-335-3230
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/13/2006