Provider First Line Business Practice Location Address:
JOHN D. DINGELL VAMC
Provider Second Line Business Practice Location Address:
4646 JOHN R STREET
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48201-1916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-576-4645
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2015