Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Gerard Vandenboom II, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1629344189

Dr. Timothy Gerard Vandenboom II, MD is a Pathology in Ypsilanti, Michigan. Graduated from Wayne State University School of Medicine in 2012, 14 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
14
Trained at
Wayne State University School of Medicine
Licensed in
IL, MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 676 N Saint Clair St, Chicago, IL 60611-2927 — (312) 695-1413
  • 1314 N Macomb St, Monroe, MI 48162-3131 — (800) 746-5870

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 4301114577 (MI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 125062313 (IL)

Record details

NPI number1629344189
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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