Timothy Gerard Vandenboom Ii (NPI# 1629344189, PAC ID# 9335440155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1629344189 |
| PAC ID by PECOS | 9335440155 |
| Professional Enrollment ID | I20180709002136 |
| Full Name | Timothy Gerard Vandenboom Ii |
| Organization Legal Name | PINKUS DERMATOPATHOLOGY LABORATORY, PC |
| Address |
1314 N Macomb St Monroe MI 48162-3131 |
| Phone Number | 8664843522 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8921077884 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1314 N Macomb St, Monroe, MI 48162-3131 | 8664843522 | PINKUS DERMATOPATHOLOGY LABORATORY, PC |
| Organization Legal Name | PINKUS DERMATOPATHOLOGY LABORATORY, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liaqat Ali | Pathology | Pinkus Dermatopathology Laboratory, PC | 1314 N Macomb St, Monroe, MI 48162-3131 |
| Stephen H Olsen | Pathology | Pinkus Dermatopathology Laboratory, PC | 32669 Warren Rd, Suite 10, Garden City, MI 48135-1677 |
| Viktor N Goncharuk | Pathology | Pinkus Dermatopathology Laboratory, PC | 1314 N Macomb St, Monroe, MI 48162-3131 |
| Street Address |
1314 N MACOMB ST |
| City | MONROE |
| State | MI |
| Zip | 48162-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liaqat Ali | Pathology | Pinkus Dermatopathology Laboratory, PC | 1314 N Macomb St, Monroe, MI 48162-3131 |
| Viktor N Goncharuk | Pathology | Pinkus Dermatopathology Laboratory, PC | 1314 N Macomb St, Monroe, MI 48162-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amal Butler | Clinical Social Worker | 311 N Monroe St, Monroe, MI 48162-2621 | |
| Kenneth J Mcnamee | Orthopedic Surgery | Promedica Monroe Physicians Pllc | 214 E Elm Ave, 200 Promedica Physicians Orthopaedic Su, Monroe, MI 48162-2678 |
| Marilyn Hatcher | Clinical Social Worker | 214 E Elm Ave, Suite 112, Monroe, MI 48162-2678 | |
| Cliff Ferreira | Nurse Practitioner | Ashwin H Shah Md PC | 718 N Macomb St, Mercy Memorial Hospital, Monroe, MI 48162-2900 |
| Ashwin H Shah | Urology | Ashwin H Shah Md PC | 730 N Macomb St, Suite 319, Monroe, MI 48162-2900 |
| Justin L Chamberlain | General Surgery | Promedica Monroe Physicians Pllc | 730 N Macomb St, 329 Promedica Physicians General Surger, Monroe, MI 48162-2904 |
| Stacey M Reaume | Clinical Social Worker | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Navin K Jain | Pulmonary Disease | Toledo Clinic Incorporated | 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 |
| John J Kalenkiewicz | Internal Medicine | 730 N Macomb St, Suite 400, Monroe, MI 48162-2904 | |
| Tracy Gomez | Psychologist, Clinical | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Find all physicians in zip 48162 | |||
| City | MONROE |
| Zip Code | 48162 |
| Specialty | PATHOLOGY |
| City + Specialty | MONROE + PATHOLOGY |
Please comment or provide details below to improve the information on Timothy Gerard Vandenboom Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.