Phone: 248-849-3000
Location:16001 W. 9 Mile Rd.Southfield, Michigan 48075
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Amendment Submission
Application for Research Approval and/or Grant
Consent for Study
Human Research (IRB) Application
Use and Disclose PHI
After completing the document, either fax (248.849.3304) or US Mail to:
Providence Hospital Department of Research 16001 West Nine Mile Road Southfield MI, 48075
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