Provider First Line Business Practice Location Address:
1215 E MICHIGAN AVE
Provider Second Line Business Practice Location Address:
SPARROW HOSPITAL
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48912-1811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-332-5050
Provider Business Practice Location Address Fax Number:
517-332-8011
Provider Enumeration Date:
03/22/2006