Individual
DR. GARY VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13561 SOUTH WEST BAYSHORE DR., STE. 317, TRAVERSE CITY, MI 49684
(231) 947-2990
(231) 947-5862
Mailing address
13561 SOUTH WEST BAYSHORE DRIVE, STE 317, TRAVERSE CITY, MI 49684
(231) 947-2990
(231) 947-5862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B84609
BCBS
MI
Enumeration date
09/27/2006
Last updated
11/05/2015
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