Provider First Line Business Practice Location Address:
1500 E. MEDICAL CENTER DR., MED INN C213A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-936-5950
Provider Business Practice Location Address Fax Number:
734-232-5015
Provider Enumeration Date:
09/14/2017