Provider First Line Business Practice Location Address:
1500 EAST MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
UH-IM NEPHROLOGY
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48109-5364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-888-2871
Provider Business Practice Location Address Fax Number:
734-936-4649
Provider Enumeration Date:
09/25/2013