Provider First Line Business Practice Location Address:
329 OLIN HEALTH CENTER
Provider Second Line Business Practice Location Address:
MICHIGAN STATE UNIVERSITY
Provider Business Practice Location Address City Name:
EAST LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48824-1030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-432-3327
Provider Business Practice Location Address Fax Number:
517-432-3320
Provider Enumeration Date:
05/24/2007