Provider First Line Business Practice Location Address:
1500 EAST MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
U OF M HOSPITALS - M5228 MSI SPC 5602
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48109-5602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-727-8443
Provider Business Practice Location Address Fax Number:
320-341-3578
Provider Enumeration Date:
06/20/2007