Provider First Line Business Practice Location Address:
KINGSWOOD HOSPITAL
Provider Second Line Business Practice Location Address:
10300 WEST EIGHT MILE ROAD
Provider Business Practice Location Address City Name:
FERNDALE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-691-4865
Provider Business Practice Location Address Fax Number:
248-691-4877
Provider Enumeration Date:
12/11/2006