Provider First Line Business Practice Location Address:
ATHLETIC DEPT. MICHIGAN STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
JENISON FIELDHOUSE
Provider Business Practice Location Address City Name:
E. LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-353-4564
Provider Business Practice Location Address Fax Number:
517-432-1879
Provider Enumeration Date:
02/15/2007