Benjamin Maddock, MD | |
3399 E Grand River Ave, Howell, MI 48843-7555 | |
(734) 539-5080 | |
Not Available |
Full Name | Benjamin Maddock |
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Gender | Male |
Speciality | Pediatrics |
Location | 3399 E Grand River Ave, Howell, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679004204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 4301504624 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Mailing Address | Practice Location Address |
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Benjamin Maddock, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: () - | Benjamin Maddock, MD 3399 E Grand River Ave, Howell, MI 48843-7555 Ph: (734) 539-5080 |
Dr. Malcolm Darryl Steider, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4988 Stillmeadow Dr, Howell, MI 48843 Phone: 517-545-0359 | |
Hannah Joy Simmons, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3399 E Grand River Ave, Howell, MI 48843 Phone: 734-539-5080 | |
Dr. Aaron Michael Daniel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 202 W Highland Rd Ste A, Howell, MI 48843 Phone: 517-338-9090 Fax: 517-338-9083 | |
Cheryl Wickham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3399 E Grand River Ave Ste 202, Howell, MI 48843 Phone: 517-548-1020 | |
Kristen Elizabeth Unsicker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3399 E Grand River Ave, Howell, MI 48843 Phone: 734-539-5080 | |
Dr. Dongsoo Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3101 Charann Dr, Howell, MI 48843 Phone: 517-546-1835 |