Mr Benjamin A Burroughs, PA-C | |
2799 W. Grand Blvd , K-14, Henry Ford Cardiac Surgery Pofessional Building, Detroit, MI 48202 | |
(313) 916-2695 | |
(313) 916-2687 |
Full Name | Mr Benjamin A Burroughs |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 2799 W. Grand Blvd , K-14, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174740229 | NPI | - | NPPES |
81471378 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 5601003662 (New Mexico) | Secondary |
363A00000X | Physician Assistant | 5601003662 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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Mr Benjamin A Burroughs, PA-C 2799 W Grand Blvd, Phs Provider Enrollment, Detroit, MI 48202-2608 Ph: (313) 916-2695 | Mr Benjamin A Burroughs, PA-C 2799 W. Grand Blvd , K-14, Henry Ford Cardiac Surgery Pofessional Building, Detroit, MI 48202 Ph: (313) 916-2695 |