Provider First Line Business Practice Location Address:
HENRY FORD HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
24565 HAIG ROAD
Provider Business Practice Location Address City Name:
TAYLOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-375-2000
Provider Business Practice Location Address Fax Number:
313-375-2235
Provider Enumeration Date:
11/21/2006