Provider First Line Business Practice Location Address:
1019 US HIGHWAY 23 N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALPENA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49707-1258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-356-9922
Provider Business Practice Location Address Fax Number:
989-356-0009
Provider Enumeration Date:
02/20/2007