Provider First Line Business Practice Location Address:
SUITE 201 SNOW HEALTH CENTER
Provider Second Line Business Practice Location Address:
EASTERN MICHIGAN UNIVERSITY
Provider Business Practice Location Address City Name:
YPSILANTI
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48197
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-487-1003
Provider Business Practice Location Address Fax Number:
734-487-0273
Provider Enumeration Date:
07/19/2006