Provider First Line Business Practice Location Address:
965 FEE ROAD, ROOM A233
Provider Second Line Business Practice Location Address:
MSU AND AFFILIATED HOSPITALS PSYCHIATRY RESIDENCY PROG.
Provider Business Practice Location Address City Name:
EAST LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-385-3888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2021