Provider First Line Business Practice Location Address:
6596 W US HIGHWAY 2
Provider Second Line Business Practice Location Address:
MANISTIQUE TRIBAL HEALTH CENTER
Provider Business Practice Location Address City Name:
MANISTIQUE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-341-8469
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2006