Provider First Line Business Practice Location Address:
HENRY FORD HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
22505 ALLEN ROAD
Provider Business Practice Location Address City Name:
WOODHAVEN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-671-6217
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2007