Provider First Line Business Practice Location Address:
607 DEMERS AVE - ALTRU CLINIC I EAST GRAND FORKS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST GRAND FORKS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-773-0357
Provider Business Practice Location Address Fax Number:
701-780-1942
Provider Enumeration Date:
06/01/2007