Provider First Line Business Practice Location Address:
8820 WOODROW WILSON ST
Provider Second Line Business Practice Location Address:
HUTCHINS HEALTH CENTER (HENRY FORD HEALTH SYSTEM)
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48206-2216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-873-1400
Provider Business Practice Location Address Fax Number:
313-873-4735
Provider Enumeration Date:
12/19/2006