Organization
IMS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME J. VAN GASSE MD (PRESIDENT)
(734) 663-3920
Entity
Organization
Contact information
Practice address
483 LITTLE LAKE DR, STE. 200, ANN ARBOR, MI 48103-6221
(734) 663-3920
(734) 663-3326
Mailing address
483 LITTLE LAKE DR, STE. 200, ANN ARBOR, MI 48103-6221
(734) 663-3920
(734) 663-3326
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
5306000305
MI
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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