Provider First Line Business Practice Location Address:
3201 E COURT ST
Provider Second Line Business Practice Location Address:
CONSUMERS ENERGY WELLNESS ROOM
Provider Business Practice Location Address City Name:
FLINT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48506-4022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-760-3484
Provider Business Practice Location Address Fax Number:
810-760-3329
Provider Enumeration Date:
04/30/2009