Provider First Line Business Practice Location Address:
HENRY FORD HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
14500 HALL ROAD
Provider Business Practice Location Address City Name:
STERLING HTS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-247-2688
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/18/2006