| Ben Go M.d. P.c. | |
|
1650 Fort St Suite E Trenton MI 48183-2041 | |
| (734) 692-6676 | |
| Not Available |
| Full Name | Ben Go M.d. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1650 Fort St, Trenton, Michigan |
| Authorized Official Name and Position | Benedict Go (MD/PRESIDENT) |
| Authorized Official Contact | 7346926676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Go M.d. P.c. 1650 Fort St Suite E Trenton MI 48183-2041 Ph: (734) 692-6676 | Ben Go M.d. P.c. 1650 Fort St Suite E Trenton MI 48183-2041 Ph: (734) 692-6676 |
| NPI Number | 1225217847 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/31/2007 |
| Medicare PECOS PAC ID | 7810967254 |
|---|---|
| Medicare Enrollment ID | O20040730001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225217847 | NPI | - | NPPES |
| 4534238 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | BG057837 (Michigan) | Primary |
| Provider Name | Benedict L Go |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831147768 PECOS PAC ID: 3274424007 Enrollment ID: I20040322001720 |
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