Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYME 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) 973-9353
Mailing address
6122 S IVANHOE AVE, YPSILANTI, MI 48197-9707
(734) 973-9345
(734) 973-9353
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
6801083874
MI
Other
Enumeration date
01/17/2007
Last updated
02/26/2009
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