Individual
MR. JAMES BENJIMAN BURDETTE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23999 NORTHWESTERN HWY, SUITE # 110, SOUTHFIELD, MI 48075-2578
(248) 223-1500
(248) 223-9600
Mailing address
23999 NORTHWESTERN HWY STE 110, SOUTHFIELD, MI 48075-2578
(248) 223-1500
(248) 223-9600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002272
MI
Other
Enumeration date
06/18/2009
Last updated
10/27/2010
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