MARY VAN KOOTEN

BLOOMINGTON, IN
NPI1619972601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01057928A)
Additional Taxonomies207QA0505X Family Medicine, Adult Medicine
(Licence: IN  01057928A)
Enumeration Date2005-06-16
Last Update Date2023-09-09
Business Address
MARY VAN KOOTEN MD
550 S LANDMARK AVE
BLOOMINGTON, IN 47403-3239
Phone number: 812-355-6900
Mailing Address
MARY VAN KOOTEN MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: