Provider First Line Business Practice Location Address:
DETROIT HEALTH DEPT - NORTHEAST HEALTH CENTER
Provider Second Line Business Practice Location Address:
5400 EAST SEVEN MILE ROAD
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-852-4233
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/25/2007