Individual
BENJAMIN ROBERT JOHN CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2885 E LONG LAKE RD STE AB, TROY, MI 48085-4100
(586) 977-7246
Mailing address
2885 E LONG LAKE RD STE AB, TROY, MI 48085-4100
(586) 977-7246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010043
MI
363AM0700X
Medical Physician Assistant
Primary
5601010043
MI
Other
Enumeration date
03/03/2020
Last updated
01/28/2026
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