Provider First Line Business Practice Location Address:
E CIRCLE DR OLIN HEALTH CENTER
Provider Second Line Business Practice Location Address:
UNIVERSITY PHYSICIANS OFFICE
Provider Business Practice Location Address City Name:
EAST 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:
517-353-9101
Provider Business Practice Location Address Fax Number:
517-355-0332
Provider Enumeration Date:
05/04/2007