Provider First Line Business Practice Location Address:
12434 12 MILE
Provider Second Line Business Practice Location Address:
CATHOLIC SERVICES OF MACOMB, STE 201
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-416-2300
Provider Business Practice Location Address Fax Number:
586-416-2311
Provider Enumeration Date:
01/04/2006