person
Mary Van Kooten, MD
Family Medicine Physician in Bloomington, Indiana
NPI 1619972601

Mary Van Kooten is a Family Medicine Physician based in Indianapolis, IN. Mary Van Kooten practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Mary Van Kooten is 1619972601 and holds a License No. 01057928A (Indiana).

The current practice location address for Mary Van Kooten is 550 S Landmark Ave, Bloomington, IN and can be reached out via phone at 812-355-6900 and via fax at 812-333-5978. You can also correspond with Mary Van Kooten through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 550 S Landmark Ave, Bloomington, IN, 46219-4959
person
Provider Profile Details
NPI Number
1619972601
Provider Name
Mary Van Kooten
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
550 S Landmark Ave, Bloomington, IN, 46219-4959
Phone Number
812-355-6900
Fax Number
812-333-5978
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090540396 01 IN MEDICARE PTAN
Q00228730 01 IN RAILROAD PTAN
200452880 05 IN
institution
Provider Business Practice Location Address Details
Address
550 S Landmark Ave
City
State
Zip
47403-3239
Phone Number
812-355-6900
Fax Number
812-333-5978
person
Provider Business Mailing Address Details
Address
550 S Landmark Ave
City
State
Zip
47403-3239
Phone Number
812-355-6900
Fax Number
812-333-5978
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
01057928A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
01057928A (Indiana)
Definition
Definition to come.
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