Provider First Line Business Practice Location Address:
1500 E MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
1H247 UNIVERSITY HOSPITAL
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-343-3370
Provider Business Practice Location Address Fax Number:
313-343-6862
Provider Enumeration Date:
12/23/2005