Individual
MR. BENJAMIN DANIEL MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1095 S MAIN ST, CENTERVILLE, OH 45458-3840
(937) 439-8622
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.15883
OH
Other
Enumeration date
11/28/2006
Last updated
03/26/2025
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