Provider First Line Business Practice Location Address:
HENRY FORD HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
2755 CARPENTER ROAD
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-973-3090
Provider Business Practice Location Address Fax Number:
734-973-1470
Provider Enumeration Date:
11/17/2006