Individual
DR. JAMES THOMAS VANDERLUGT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
526 JASPER ST, KALAMAZOO, MI 49007-5319
(269) 276-8800
Mailing address
2152 WALKER TRL, KALAMAZOO, MI 49009-9186
(269) 372-5874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301041223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510330
—
MI
Enumeration date
02/22/2006
Last updated
07/08/2007
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