Dr. Timothy Gerard Vandenboom II
Dermatopathologist
5301 E Huron River Dr
Ypsilanti
, Michigan 48197-1051
Dr. Timothy Gerard Vandenboom II
Dermatopathologist
5301 E Huron River Dr
Ypsilanti
, Michigan 48197-1051
(734) 747-6766
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Timothy Gerard Vandenboom II
- 24 Frank Lloyd Wright Dr Lbby J2000
- Ann Arbor, MI
- Zip : 48105-9484
- Phone : (734) 747-6766
Second Address
- Dr. Timothy Gerard Vandenboom II
- 5301 E Huron River Dr
- Ypsilanti, MI
- Zip : 48197-1051
- Phone : (734) 712-3161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0900X | Dermatopathologist | 4301114577 | MI |
National Provider Identifier
| NPI | 1629344189 |
|---|---|
| Provider Name | Dr. Timothy Gerard Vandenboom II |
| First Address | Ann Arbor, MI 48105-9484 |
| Second Address | Ypsilanti, MI 48197-1051 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2012 |
| Last Update Date | 26/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.