TIMOTHY O VANDERKOOY — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, MI)
TIMOTHY O VANDERKOOY — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, MI) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: TIMOTHY O VANDERKOOY; Type: Individual; NPI: 1003135104.
| Name | TIMOTHY O VANDERKOOY |
|---|---|
| Type | Individual |
| NPI | 1003135104 |
| Provider type | PRACTITIONER - EMERGENCY MEDICINE |
| State | MI |
| Enrollment ID | I20160822000904 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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