Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY GERARD VANDENBOOM II, M.D.
ActiveDR. TIMOTHY GERARD VANDENBOOM II, M.D. is a Dermatopathology healthcare provider located in YPSILANTI, Michigan. NPI 1629344189 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · YPSILANTI, MI
Registration Details
- NPI Number
- 1629344189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2012 (14.387997663916 yrs)
- Last Updated
- Apr 26, 2021
- Licenses
-
125062313 (IL)4301114577 (MI)
Practice Information
- Address
-
5301 E HURON RIVER DRYPSILANTI, MI, 481971051Browse MI providers · Browse ZIP 48197
- Phone
- 7347123161
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Dermatopathology
Other Dermatopathology Providers in YPSILANTI, MI
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN HAROLD OLSEN | M.D. | 1770605271 |
| MICHAEL DEWALL | DO | 1679968150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.