Provider First Line Business Practice Location Address:
MEMORIAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1615 MAPLE LANE
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54806-3610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-685-5513
Provider Business Practice Location Address Fax Number:
715-682-4022
Provider Enumeration Date:
11/14/2017