Provider First Line Business Practice Location Address:
IHA CLARKSTON PRIMARY CARE
Provider Second Line Business Practice Location Address:
6770 DIXIE HIGHWAY SUITE 303
Provider Business Practice Location Address City Name:
CLINTON TWP
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-625-0030
Provider Business Practice Location Address Fax Number:
248-625-4403
Provider Enumeration Date:
04/04/2019