Provider First Line Business Practice Location Address:
4250 PLYMOUTH RD SPC 5766
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MICHIGAN, DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48109-2700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-764-0231
Provider Business Practice Location Address Fax Number:
734-936-8907
Provider Enumeration Date:
08/13/2008