Provider First Line Business Practice Location Address:
2110 16TH ST 1
Provider Second Line Business Practice Location Address:
BAY PEDIATRIC CLINIC
Provider Business Practice Location Address City Name:
BAY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-892-2517
Provider Business Practice Location Address Fax Number:
989-892-4860
Provider Enumeration Date:
12/11/2006