Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin Hazen, MD

Individual provider Pediatrics Physician · NPI 1104352129

Dr. Benjamin Hazen, MD is a Pediatrics Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4020 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 421-8099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD469663 (MI)

Record details

NPI number1104352129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address4020 W Royal Dr, Traverse City, MI 49684-8965

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