Organization
THOMAS L VANWINGEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L VANWINGEN MD (OWNER)
(616) 842-7406
Entity
Organization
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
01
—
1607001561
BCBSM
MI
05
—
1972282
—
MI
Enumeration date
07/16/2007
Last updated
07/16/2007
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