Provider First Line Business Practice Location Address:
803 WEST ARLINGTON
Provider Second Line Business Practice Location Address:
BANGOR HEALTH CENTER
Provider Business Practice Location Address City Name:
BANGOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-427-6810
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/24/2007