Provider First Line Business Practice Location Address:
CENTRAL MICHIGAN UNIVERSITY
Provider Second Line Business Practice Location Address:
HEALTH PROFESSIONS 1207
Provider Business Practice Location Address City Name:
MOUNT PLEASANT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48859-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-774-2861
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/11/2014