Individual
BENJAMIN VANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3860 S STRAITS HWY, INDIAN RIVER, MI 49749-5146
(231) 238-0581
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101023068
LICENSE
MI
Enumeration date
05/10/2017
Last updated
05/13/2025
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