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Individual

DR. JAMES THOMAS VANHUYSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
601 JOHN ST, SUITE M-424, KALAMAZOO, MI 49007-5341
(269) 349-3350
(269) 349-2403
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 349-3350
(269) 349-2403

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101015731
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101015731
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C97618
BCBS
MI
05
0C97618269
MI
05
1871619965
MI
01
200C911390
BCBS
MI
Enumeration date
03/21/2007
Last updated
11/27/2023
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