Provider Demographics
NPI:1326369794
Name:REGENBOGEN, THOMAS YVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:YVAN
Last Name:REGENBOGEN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:LOBBY J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:989-839-6188
Mailing Address - Fax:989-839-6221
Practice Address - Street 1:IHA HEMATOLOGY ONCOLOGY
Practice Address - Street 2:5303 ELLIOT DRIVE, SUITE 210
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-712-1000
Practice Address - Fax:734-712-1012
Is Sole Proprietor?:No
Enumeration Date:2010-06-19
Last Update Date:2023-06-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301111453207R00000X, 207RH0003X
MO2013020343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine