Provider First Line Business Practice Location Address:
3601 W 13 MILE ROAD
Provider Second Line Business Practice Location Address:
WEIGHT CONTROL CENTER 160 - HC
Provider Business Practice Location Address City Name:
ROYAL OAK
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48073-6769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-655-5900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2006