Provider First Line Business Practice Location Address:
15400 W MCNICHOLS RD DMC SINAI GRACE FAMILY MEDICINE
Provider Second Line Business Practice Location Address:
ADVANTAGE HEALTH CENTERS - THEA BOWMAN
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-416-4865
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2017