Individual
BENJERMEN ALAN BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
904 WASHINGTON AVE STE 210, HOLLAND, MI 49423-7724
(616) 392-8035
Mailing address
904 WASHINGTON AVE STE 210, HOLLAND, MI 49423-7724
(616) 392-8035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101025990
MI
Other
Enumeration date
06/10/2018
Last updated
09/12/2024
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