Provider First Line Business Practice Location Address:
1215 E MICHIGAN AVE
Provider Second Line Business Practice Location Address:
DEPT OF MEDICAL EDUCATION
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48912-1811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-225-7331
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2012