Provider First Line Business Practice Location Address:
1500 WEISS STREET
Provider Second Line Business Practice Location Address:
MEDICAL SERVICE-NEUROLOGY 111, VAMC
Provider Business Practice Location Address City Name:
SAGINAW
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-510-8454
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2005