Provider First Line Business Practice Location Address:
15855 NINETEEN MILE RD
Provider Second Line Business Practice Location Address:
ST JOSEPHS HEALTHCARE
Provider Business Practice Location Address City Name:
CLINTON TWP
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-263-2016
Provider Business Practice Location Address Fax Number:
586-263-2614
Provider Enumeration Date:
01/06/2006