Individual
MICHAEL BENJAMIN DULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 COLUMBUS AVE, LEBANON, OH 45036-8330
(513) 932-7951
(513) 932-9664
Mailing address
1000 COLUMBUS AVE, LEBANON, OH 45036-8330
(513) 932-7951
(513) 932-9664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070148D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10790873
CAQH
OH
05
—
2014215
—
OH
Enumeration date
10/11/2005
Last updated
12/18/2013
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