Individual
DR. MICHAEL M VAN NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Mailing address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.056937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138314
ANTHEM BCBS #
OH
05
—
0705124
—
OH
01
—
100005924
RR MEDICARE PIN #
OH
01
—
1313725002
CIGNA #
OH
01
—
2900128
UNITED HEALTHCARE
OH
01
—
341773267
COMMERCIAL CARRIERS
OH
01
—
341773267A
AULTCARE #
OH
01
—
4292973
AETNA #
OH
01
—
87852
QUALCHOICE #
OH
Enumeration date
06/23/2005
Last updated
01/30/2020
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