Provider First Line Business Practice Location Address:
BEMIDJI VA CLINIC
Provider Second Line Business Practice Location Address:
1217 ANNE ST. NW
Provider Business Practice Location Address City Name:
BEMIDJI
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56601-5113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-755-6360
Provider Business Practice Location Address Fax Number:
218-557-6399
Provider Enumeration Date:
01/24/2010