Address: 1481 S Center Rd, Suite B, Burton, MI 48509
Call Us!(810) 820-8706
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(810) 820-8706
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1481 S Center Rd, Suite B, Burton, MI 48509
Patient's Name*
Patient's Address*
Primary Care Physician*
Emergency Contact Name*
Primary Insured Name*
(Name on Insurance Card)
Primary Insured Address
CONTACT INFORMATION
Phone: (810) 820-8706
Fax: (810) 820-8729
BUSINESS HOURS
After-Hours & Walk-In Clinic
DOT PHYSICALS AVAILABLE, Call For Availability
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