Provider First Line Business Practice Location Address:
IHA EAST BRIGHTON PRIMARY CARE
Provider Second Line Business Practice Location Address:
5505 S OLD US 23 SUITE 100
Provider Business Practice Location Address City Name:
BRIGHTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-494-6885
Provider Business Practice Location Address Fax Number:
313-369-0142
Provider Enumeration Date:
06/13/2016