Individual
DR. BENJAMIN WILLIAM NYKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6741 FULTON ST E, ADA, MI 49301-9502
(616) 320-5450
Mailing address
6741 FULTON ST E, ADA, MI 49301-9502
(616) 320-5450
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BN032157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2609008
—
MI
Enumeration date
09/20/2006
Last updated
11/27/2023
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