Individual
DR. ANTHONY J VAN ES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5082 LOVERS LN, PORTAGE, MI 49002-1557
(269) 381-0118
(269) 381-4610
Mailing address
5082 LOVERS LN, PORTAGE, MI 49002-1557
(269) 381-0118
(269) 381-4610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301075616
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1230286
PHP NUMBER
MI
01
—
3503904892
BLUE CROSS PIN
MI
05
—
4217052
—
MI
01
—
4301075616
PHYSICIAN LICENSE
MI
01
—
P107191
BLUE CHOICE
MI
Enumeration date
01/16/2006
Last updated
03/07/2023
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