Vandenboom, Timothy Gerard
Vandenboom, Timothy Gerard is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197-1051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Vandenboom, Timothy Gerard can be contacted via phone (734) 712-3161.Contact Information
Primary practice address
5301 E Huron River Dr
Ypsilanti MI 48197-1051
Phone: (734) 712-3161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 125062313 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 4301114577 | Michigan |
Profile Details
| NPI number | 1629344189 |
|---|---|
| LBN Legal business name | Vandenboom, Timothy Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2012 |
| Last updated | Apr 26th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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