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Individual

BENJAMIN G SARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 BARCLAY AVE NE, SUITE 300, GRAND RAPIDS, MI 49503-2556
(616) 391-1719
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301083154
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558407189
GROUP NPI
MI
01
1922090554
GROUP NPI
MI
01
350D176310
BCBS GROUP
MI
05
4796509
MI
Enumeration date
01/23/2006
Last updated
11/21/2012
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