Provider First Line Business Practice Location Address:
1500 WEISS ST.
Provider Second Line Business Practice Location Address:
ALEDA E LUTZ VAMC
Provider Business Practice Location Address City Name:
SAGINAW
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48602-5251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-932-9720
Provider Business Practice Location Address Fax Number:
231-932-1397
Provider Enumeration Date:
12/10/2010