Individual
BENJAMIN FRANK MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5361 MCAULEY DR, YPSILANTI, MI 48197-1011
(734) 712-1300
(734) 222-3665
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301504694
MI
Other
Enumeration date
04/12/2018
Last updated
10/04/2021
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