Provider First Line Business Practice Location Address:
615 N MICHIGAN ST
Provider Second Line Business Practice Location Address:
EMPLOYEE HEALTH
Provider Business Practice Location Address City Name:
SOUTH BEND
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46601-1033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-635-5516
Provider Business Practice Location Address Fax Number:
574-647-6788
Provider Enumeration Date:
09/24/2012