# JOHN D DINGELL VA MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851717052
- **Authorized official:** MS. ELOUISE MALISA BULIN LLMSW (SOCIAL WORKER)
- **Authorized official phone:** (313) 576-1000

## Contact information

- **Practice address:** 4646 JOHN R ST, DETROIT, MI 48201-1916
- **Practice address phone:** (313) 576-1000
- **Mailing address:** 4646 JOHN R ST, DETROIT, MI 48201-1916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | MI | Yes |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 03/12/2014