Provider First Line Business Practice Location Address:
HENRY FORD HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
24565 HAIG ROAD
Provider Business Practice Location Address City Name:
TAYLOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-291-7800
Provider Business Practice Location Address Fax Number:
313-291-7420
Provider Enumeration Date:
12/01/2006