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Individual

BENSON WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
32875 FORT RD, ROCKWOOD, MI 48173-1157
(734) 379-9633
Mailing address
32875 FORT RD, ROCKWOOD, MI 48173-1157

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03226552
OH
183500000X
Pharmacist
Primary
5302035823
MI

Other

Enumeration date
09/22/2010
Last updated
09/22/2010
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