Provider First Line Business Practice Location Address:
KRESGE EYE INSTITUTE
Provider Second Line Business Practice Location Address:
4717 ST ANTOINE
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:
313-577-8900
Provider Business Practice Location Address Fax Number:
313-577-0700
Provider Enumeration Date:
06/01/2006