Individual
MR. BENJAMIN ANDREW TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., PA-C, EMT-P
Contact information
Practice address
28200 JOHN R, MADISON HEIGHTS, MI 48071
(248) 547-1400
Mailing address
395 SHADY OAKS ST, LAKE ORION, MI 48362-2567
(248) 236-5377
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004891
MI
Other
Enumeration date
10/03/2006
Last updated
01/21/2010
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