Provider Demographics
NPI:1588629703
Name:VOS, MIRIAM BENEDICTA (MD, MSPH)
Entity type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:BENEDICTA
Last Name:VOS
Suffix:
Gender:F
Credentials:MD, MSPH
Other - Prefix:
Other - First Name:MIRIAM
Other - Middle Name:VOS
Other - Last Name:LOUTHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSPH
Mailing Address - Street 1:959 PINECREST AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-3436
Mailing Address - Country:US
Mailing Address - Phone:404-803-7733
Mailing Address - Fax:
Practice Address - Street 1:35 MICHIGAN ST NE STE 4150
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2529
Practice Address - Country:US
Practice Address - Phone:616-267-4100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA541602080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology