Provider First Line Business Practice Location Address:
TRINITY HEALTH IHA MEDICAL GROUP NEUROSURGERY
Provider Second Line Business Practice Location Address:
44555 WOODWARD AVE SUITE 305
Provider Business Practice Location Address City Name:
PONTIAC
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-858-3812
Provider Business Practice Location Address Fax Number:
248-858-3815
Provider Enumeration Date:
08/13/2013