Vander Lugt, Mark Thomas
Vander Lugt, Mark Thomas is an individual health care provider with primary practice located at 1500 East Medical Center Drive 7Th Floor C.S. Mott Childrens Hospital, Ann Arbor MI 48109-4257. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Vander Lugt, Mark Thomas can be contacted via phone (734) 936-9814.Contact Information
Primary practice address
1500 East Medical Center Drive 7Th Floor C.S. Mott Childrens Hospital
Ann Arbor MI 48109-4257
Phone: (734) 936-9814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD446513 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 4301094130 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301094130 | Michigan |
Profile Details
| NPI number | 1861562985 |
|---|---|
| LBN Legal business name | Vander Lugt, Mark Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Aug 2nd, 2016 - about 9 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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