Organization
VA MEDICAL CENTER
Active
Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYME S THOMPSON (PROGRAM SUPPORT ASSISTANT)
(734) 845-3007
Entity
Organization
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2335
(734) 769-7100
(734) 769-7172
Mailing address
4500 WALDEN DR, BLOOMFIELD, MI 48301-1149
(248) 855-3982
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
4301036985
MI
Other
Enumeration date
10/27/2006
Last updated
03/07/2023
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