Individual
BENJAMIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
486 W HURON ST, PONTIAC, MI 48341-1602
(248) 335-9970
Mailing address
59004 FRANCY LN, SOUTH LYON, MI 48178-9792
(248) 444-9533
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400457
MI
Other
Enumeration date
05/22/2019
Last updated
06/28/2022
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