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Individual

BENJAMIN RAY BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444
(231) 672-8289
Mailing address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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