Provider First Line Business Practice Location Address:
345 NORTH SMITH AVENUE
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITALS AND CLINICS EMERGENCY PHYSICIANS
Provider Business Practice Location Address City Name:
ST. PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55102-2346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-220-6914
Provider Business Practice Location Address Fax Number:
651-220-6999
Provider Enumeration Date:
02/08/2006