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Individual

BENJAMIN RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
N13871 COUNTY ROAD 557, WILSON, MI 49896-9772
(906) 399-7636
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 399-7636

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4703099182
MI

Other

Enumeration date
03/17/2017
Last updated
06/14/2017
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