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Individual

BENJAMIN MADDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3399 E GRAND RIVER AVE, HOWELL, MI 48843-7555
(734) 539-5080
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301504624
MI

Other

Enumeration date
03/24/2017
Last updated
06/07/2021
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