Provider First Line Business Practice Location Address:
HENRY FORD HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
131 KERCHEVAL
Provider Business Practice Location Address City Name:
GROSSE POINTE FARMS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-882-7900
Provider Business Practice Location Address Fax Number:
313-824-3850
Provider Enumeration Date:
12/01/2006