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Individual

BEN ONNINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-6877
Mailing address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 775-7792
(937) 775-8100

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0101270438
VA
2083A0100X
Aerospace Medicine Physician
PENDING
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
57.253701
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OH

Other

Enumeration date
02/18/2019
Last updated
02/10/2026
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