Organization
JOHN D DINGELL VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELOUISE MALISA BULIN LLMSW (SOCIAL WORKER)
(313) 576-1000
Entity
Organization
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
MI
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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