Individual provider · Type 1 NPI

Mark Thomas Vander Lugt, MD

Pediatric Hematology & Oncology Physician · Ann Arbor, MI

NPI number 1861562985 Active

Practice location

1500 East Medical Center Drive, 7th Floor C.s. Mott Childrens Hospital
Ann Arbor, MI 48109-4257

Mailing address

3621 South State Street, 700 Kms Place
Ann Arbor, MI 48108

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician 2080P0207XMD446513 (PA)
Pediatric Hematology & Oncology Physician Primary 2080P0207X4301094130 (MI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician 208000000X4301094130 (MI)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1861562985

Mark Thomas Vander Lugt, MD's National Provider Identifier is 1861562985, issued on Nov 8, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Ann Arbor, MI. The record was last updated on Aug 2, 2016.