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Mary Van Kooten, MD
NPI 1619972601 · on the registry since 2005
Practice
- Address
- 550 S Landmark Ave
Bloomington, IN 47403 - Phone
- (812) 355-6900
- Fax
- (812) 333-5978
- Organisation at this address
- Ima, Inc.
Ima Inc Laboratory
Premier Healthcare Llc
Bloomington Endoscopy Center, Llc
Indiana University Health Southern Indiana Physicians LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 109
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Adult Medicine Physician
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-09
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana