Provider First Line Business Practice Location Address:
IHA PRIMARY CARE -FREEDOM
Provider Second Line Business Practice Location Address:
20206 FARMINGTON RD
Provider Business Practice Location Address City Name:
LIVONIA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-476-4724
Provider Business Practice Location Address Fax Number:
313-416-1567
Provider Enumeration Date:
10/05/2005