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Individual

BENJAMIN EDWARD DEVLIN-RUELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
2025 FORT ST, WYANDOTTE, MI 48192-3841
(734) 283-9640
Mailing address
2025 FORT ST., WYANDOTTE, MI 48192-3841
(734) 283-9640

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704274021
MI

Other

Enumeration date
06/14/2018
Last updated
06/24/2019
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