Provider First Line Business Practice Location Address:
1027 WASHINGTON AVENUE
Provider Second Line Business Practice Location Address:
EH ST MARY'S-DETROIT LAKES CLINIC URGENT CARE
Provider Business Practice Location Address City Name:
DETROIT LAKES
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-847-5611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2014