Provider First Line Business Practice Location Address:
1909 N. MITCHELL STREET
Provider Second Line Business Practice Location Address:
ALEDA E. LUTZ VETERANS AFFAIRS MEDICAL CENTER CADILLAC
Provider Business Practice Location Address City Name:
CADILLAC
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-775-4401
Provider Business Practice Location Address Fax Number:
231-775-4546
Provider Enumeration Date:
06/14/2017