Provider First Line Business Practice Location Address:
4201 ST. ANTIONE UHC 5F
Provider Second Line Business Practice Location Address:
UNIVERSITY PEDIATRICIANS
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-832-8550
Provider Business Practice Location Address Fax Number:
313-745-0940
Provider Enumeration Date:
09/30/2013