Provider First Line Business Practice Location Address:
4160 JOHN R ST.
Provider Second Line Business Practice Location Address:
DIVISION OF NEPHROLOGY/HARPER PROFESSIONAL OFFICE BUILD
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-745-7145
Provider Business Practice Location Address Fax Number:
313-745-8041
Provider Enumeration Date:
09/10/2019