Provider First Line Business Practice Location Address:
446 W. CIRCLE DR. ROOM 249 ANNEX
Provider Second Line Business Practice Location Address:
JUSTIN S. MORRILL HALL OF AGRICULTURE
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:
517-432-7604
Provider Business Practice Location Address Fax Number:
517-353-4846
Provider Enumeration Date:
05/18/2018