IndividualActive
Timothy Vandenboom, M.D.
NPI 1629344189 · Dermatopathology Physician · Ypsilanti, MI
Provider details
- NPI number
- 1629344189
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 125062313 (IL)
Practice location
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3161
Mailing address
24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.