Provider First Line Business Practice Location Address:
DETROIT MEDICAL CENTER SINAI GRACE HOSPITAL
Provider Second Line Business Practice Location Address:
6071 OUTER DR W. DETROIT, MI 48235, UNITED STATES
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-966-7434
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2020