Individual
THOMAS VANWINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 S JACKSON ST, SPRING LAKE, MI 49456-2095
(616) 842-7406
(616) 844-7056
Mailing address
109 S JACKSON ST, SPRING LAKE, MI 49456-2095
(616) 842-7406
(616) 844-7056
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301042275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101972282
—
MI
01
—
1607001561
BCBSM PIN
MI
01
—
382854385
TAX ID
MI
01
—
P52292
BCN PIN #
MI
Enumeration date
09/20/2006
Last updated
11/01/2012
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