Provider First Line Business Practice Location Address:
5450 FORT ST
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT
Provider Business Practice Location Address City Name:
TRENTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-675-3800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2006