Provider First Line Business Practice Location Address:
1000 HARRINGTON ST
Provider Second Line Business Practice Location Address:
DISEASE MANAGEMENT
Provider Business Practice Location Address City Name:
MOUNT CLEMENS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48043-2920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-493-8565
Provider Business Practice Location Address Fax Number:
586-493-8186
Provider Enumeration Date:
01/05/2006