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Individual

THOMAS H. VAN DOREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5320 HOLIDAY TER STE E, KALAMAZOO, MI 49009-2100
(269) 353-3503
(269) 353-3655
Mailing address
5320 HOLIDAY TERRACE, SUITE E, KALAMAZOO, MI 49009
(269) 353-3503
(269) 353-3655

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TV033744
MI

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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