Provider First Line Business Practice Location Address:
IHA PRIMARY CARE EAST BRIGHTON
Provider Second Line Business Practice Location Address:
5505 S. OLD US 23 STE 100
Provider Business Practice Location Address City Name:
BRIGHTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-494-6885
Provider Business Practice Location Address Fax Number:
517-655-5976
Provider Enumeration Date:
03/16/2012