Marie Vantubbergen PHD

NPI 1629229455 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1629229455
Gender Female
Enumeration Date 10/10/2008
Last Updated 04/04/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
325 E EISENHOWER
SUITE 300
ANN ARBOR MI, 48108-5744, US
Phone (734) 936-7052
Fax
Business Location
3621 S STATE ST
700 KMS PLACE
ANN ARBOR MI, 48108, US
Phone (734) 936-2047
Fax
Toxanomy
Taxonomy Code 103G00000X
License State Michigan
License Number 6301012121
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According to our database, Marie Vantubbergen PHD NPI is 1629229455, taxonomy code is 103G00000X and license number is 6301012121, license state is located at Michigan. Marie Vantubbergen PHD physically located at 325 E Eisenhower, Ann Arbor MI, 48108-5744. NPI Number Marie Vantubbergen PHD has the Individual type.

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1629229455 NPI number is provided on an as is basis without warranty of any kind. 1629229455 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Vantubbergen PHD are for informational purposes only.