Provider First Line Business Practice Location Address:
ONE VETERANS DRIVE
Provider Second Line Business Practice Location Address:
VETERANS AFFAIRS MEDICAL CENTER GENERAL MEDICINE (1110)
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-725-2158
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2006