Provider First Line Business Practice Location Address:
900 SOUTH 8TH STREET
Provider Second Line Business Practice Location Address:
S1.300 COORDINATED CARE CENTER
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-873-6580
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2021