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Individual

BENJAMIN DOPPELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNP-BC

Contact information

Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
11400 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3041
(313) 366-5500
(313) 366-5505

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704235100
MI

Other

Enumeration date
02/17/2010
Last updated
07/09/2018
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