Individual
BENEDICT JOHN FREDERICK IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19000 ST JOES PKWY STE 310, LIVONIA, MI 48152-1477
(734) 743-4540
Mailing address
222 E FRANK ST, KALAMAZOO, MI 49007-3515
(410) 615-8558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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