Individual
JEFFREY VANHOOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 W ANN ARBOR TRL, SUITE 208, PLYMOUTH, MI 48170-6204
(734) 398-7800
(734) 455-5219
Mailing address
990 W ANN ARBOR TRL, SUITE 208, PLYMOUTH, MI 48170-6204
(734) 398-7800
(734) 455-5219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301101580
MI
208000000X
Pediatrics Physician
4301101580
MI
Other
Enumeration date
07/03/2012
Last updated
09/23/2016
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