Provider First Line Business Practice Location Address:
CELESTIAL INSTITUTE OF PLASTIC SURGERY
Provider Second Line Business Practice Location Address:
42680, FORD RD
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48187-1291
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-658-8459
Provider Business Practice Location Address Fax Number:
734-844-5703
Provider Enumeration Date:
06/26/2006