Provider First Line Business Practice Location Address:
6270 W MAIN ST
Provider Second Line Business Practice Location Address:
INTERCARE COMMUNITY HEALTH NETWORK
Provider Business Practice Location Address City Name:
EAU CLAIRE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49111-9480
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-427-7967
Provider Business Practice Location Address Fax Number:
269-427-9539
Provider Enumeration Date:
03/25/2016