Provider First Line Business Practice Location Address:
5417 W SAGINAW HWY
Provider Second Line Business Practice Location Address:
CARE OF WALLACE OPTICIANS
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-323-4027
Provider Business Practice Location Address Fax Number:
517-323-1807
Provider Enumeration Date:
01/02/2007