39520 Woodward Avenue, Suite 103
Bloomfield Hills, MI 48304
Mon-Fri: 9:00AM-6:00PM
Tues: 8:00AM-5:00PM
Weds: 8:00AM-3:00PM
Thurs: 8:00AM-5:00PM
Fri: By Appointment
I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.
