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Individual

JOSEPH YARED VANDEN BOSCH

Active
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Individual

JOSEPH YARED VANDEN BOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301066019
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000197359804
UNITED HEALTH CARE
01
050076520
RAILROAD MEDICARE
01
175884
US DEPARTMENT OF LABOR
01
19944
HEALTH PLAN OF MICHIGAN
01
2011679
PHYSICIANS HEALTH PLAN
05
4532331-10
MI
05
4552933-10
MI
01
5211544
CIGNA
01
550411009
BCBSM
MI
01
7000027001
PRIORITY HEALTH MEDICAID
01
7944423
AETNA
Enumeration date
04/12/2006
Last updated
11/18/2008
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