Provider First Line Business Practice Location Address:
26957 NORTHWESTERN HIGHWAY
Provider Second Line Business Practice Location Address:
UNITED HEALTH GROUP-OPTUM
Provider Business Practice Location Address City Name:
SOUTHFIIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-331-4477
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/18/2012