Organization
BEN GO M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENEDICT GO MD (MD/PRESIDENT)
(734) 692-6676
Entity
Organization
Contact information
Practice address
1650 FORT ST, SUITE E, TRENTON, MI 48183-2041
(734) 692-6676
Mailing address
1650 FORT ST, SUITE E, TRENTON, MI 48183-2041
(734) 692-6676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BG057837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4534238
—
MI
Enumeration date
10/31/2007
Last updated
10/31/2007
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