| Benjamin John, M.d., P.c. | |
|
1217 Kearney St Suite 3 Port Huron MI 48060-3571 | |
| (810) 984-5001 | |
| Not Available |
| Full Name | Benjamin John, M.d., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1217 Kearney St, Port Huron, Michigan |
| Authorized Official Name and Position | Frances Mary Smarch (MEDICAL RECEPTIONIST) |
| Authorized Official Contact | 8109845001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin John, M.d., P.c. 1217 Kearney St Suite 3 Port Huron MI 48060-3571 Ph: (810) 984-5001 | Benjamin John, M.d., P.c. 1217 Kearney St Suite 3 Port Huron MI 48060-3571 Ph: (810) 984-5001 |
| NPI Number | 1972760692 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972760692 | NPI | - | NPPES |
| 1360467 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301033555 (Michigan) | Primary |
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