Provider First Line Business Practice Location Address:
2799 W GRAND BLVD HENRY FORD HOSPITAL
Provider Second Line Business Practice Location Address:
DEPT. OF PULM CRITICAL CARE MEDICINE K-17
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-916-2421
Provider Business Practice Location Address Fax Number:
313-916-9102
Provider Enumeration Date:
05/13/2021