Provider First Line Business Practice Location Address:
1126 GULL ROAD
Provider Second Line Business Practice Location Address:
COLON AND RECTAL SURGERY ASSOCIATES PC
Provider Business Practice Location Address City Name:
KALAMAZOO
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49048-1726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-343-0740
Provider Business Practice Location Address Fax Number:
269-343-0715
Provider Enumeration Date:
03/10/2006