Provider First Line Business Practice Location Address:
249 FOUST
Provider Second Line Business Practice Location Address:
CMU HEALTH SERVICES
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48859-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-774-6598
Provider Business Practice Location Address Fax Number:
989-774-4335
Provider Enumeration Date:
04/12/2006