Provider First Line Business Practice Location Address:
1303 S LINDEN RD
Provider Second Line Business Practice Location Address:
COMMUNITY PODIATRY GROUP SUITE D
Provider Business Practice Location Address City Name:
FLINT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48532-3442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-888-4358
Provider Business Practice Location Address Fax Number:
810-230-8090
Provider Enumeration Date:
06/20/2006