Provider First Line Business Practice Location Address:
6071 W OUTER DR
Provider Second Line Business Practice Location Address:
JOINT EXCEL PLUS ORTHOPEDIC CLINIC
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48235-2624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-966-1013
Provider Business Practice Location Address Fax Number:
313-966-9510
Provider Enumeration Date:
02/26/2013