Individual
BEN JACOB FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3031 W GRAND BLVD STE 800, DETROIT, MI 48202-3141
(313) 916-2151
Mailing address
3031 W GRAND BLVD STE 800, DETROIT, MI 48202-3141
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301103068
MI
207ND0900X
Dermatopathology Physician
4301103068
MI
390200000X
Student in an Organized Health Care Education/Training Program
MT201711
PA
Other
Enumeration date
05/21/2012
Last updated
04/25/2018
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