Provider First Line Business Mailing Address:
HENRY FORD HEALTH SYSTEM, 1 FORD PLACE
Provider Second Line Business Mailing Address:
DEPARTMENT OF PEDIATRICS, SUITE 4B,
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48202-2608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-448-8366
Provider Business Mailing Address Fax Number:
800-472-0118