Provider First Line Business Practice Location Address:
COMPREHENSIVE CARE CLINIC- ADJUNCT FACULTY
Provider Second Line Business Practice Location Address:
1121 W MICHIGAN STREET
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-274-7957
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2010