Provider First Line Business Practice Location Address:
9045 S. U.S. 31
Provider Second Line Business Practice Location Address:
UNIVERSITY MEDICAL SPECIALTIES
Provider Business Practice Location Address City Name:
BERRIEN SPRINGS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-473-2222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2006