Provider Demographics
NPI:1811061997
Name:VONMACH, JOANNE T (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:T
Last Name:VONMACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:461 W HURON ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1601
Mailing Address - Country:US
Mailing Address - Phone:248-857-7583
Mailing Address - Fax:248-857-7588
Practice Address - Street 1:461 W HURON ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1601
Practice Address - Country:US
Practice Address - Phone:248-857-7036
Practice Address - Fax:248-857-6966
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301054068207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N19500011Medicare PIN