Provider First Line Business Practice Location Address:
3601 W. 13 MILE ROAD
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
ROYAL OAK
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48073-6769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-423-2410
Provider Business Practice Location Address Fax Number:
248-423-2576
Provider Enumeration Date:
01/16/2007