Organization
JOHN D. DINGELL VAMC
Active
Parent organization
DEPARTMENT OF VETERAN AFFAIRS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF VETERAN AFFAIRS
Authorized official
NORMAN LEE THEAKER (RESPIRATORY THERAPIST)
(313) 576-3338
Entity
Organization
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3338
Mailing address
4982 CROMWELL RD, STERLING HEIGHTS, MI 48310-2086
(586) 770-1034
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4401004366
MI
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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