Individual
DR. BENJAMIN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 KEARNEY ST, STE 3, PORT HURON, MI 48060
(810) 984-5001
(810) 984-2420
Mailing address
1217 KEARNEY ST, STE 3, PORT HURON, MI 48060
(810) 984-5001
(810) 984-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301033555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360467
—
MI
Enumeration date
07/24/2006
Last updated
07/08/2007
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