Provider First Line Business Practice Location Address: 
IHA HOSPITAL MEDICINE SERVICES
    Provider Second Line Business Practice Location Address: 
5301 E HURON RIVER DRIVE
    Provider Business Practice Location Address City Name: 
YPSILANTI
    Provider Business Practice Location Address State Name: 
MI
    Provider Business Practice Location Address Postal Code: 
48197
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
734-712-8676
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/26/2022