Provider First Line Business Practice Location Address:
MICHIGAN STATE UNIVERSITY PSYCHIATRIC RESIDENCY
Provider Second Line Business Practice Location Address:
965 FEE ROAD, ROOM A233
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-353-4362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2019