Individual
COSMAS J M VAN DE VEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 9TH FLOOR VONVOIGTLANDER WOMENS HOSPITAL RECP B, ANN ARBOR, MI 48109-4276
(734) 763-6295
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301051796
MI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301051796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2969559
—
MI
Enumeration date
10/05/2006
Last updated
01/18/2013
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