Provider First Line Business Practice Location Address:
IHA PEDIATRICS GENOA
Provider Second Line Business Practice Location Address:
2305 GENOA PARK BUSINESS DR STE 240
Provider Business Practice Location Address City Name:
BRIGHTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-494-6820
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2020