Provider First Line Business Practice Location Address:
1900 CENTRA CARE CIRCLE #2500
Provider Second Line Business Practice Location Address:
CENTRA CARE CLINIC HEALTH PLAZA / ENDOCRINOLOGY
Provider Business Practice Location Address City Name:
ST CLOUD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56303-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-229-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2007