Provider First Line Business Practice Location Address:
2000 GREEN RD, STE 300
Provider Second Line Business Practice Location Address:
DEPT. OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-712-1881
Provider Business Practice Location Address Fax Number:
804-628-0384
Provider Enumeration Date:
11/25/2014