Individual
DR. BENJAMIN J SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 N HURON RIVER DR STE 200, YPSILANTI, MI 48197
(734) 434-3007
(734) 434-6317
Mailing address
4350 JACKSON RD STE 260, ANN ARBOR, MI 48103-1889
(734) 434-3007
(734) 434-6317
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301071851
MI
207R00000X
Internal Medicine Physician
4301071851
MI
208000000X
Pediatrics Physician
4301071851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104625172
—
MI
05
—
104630557
—
MI
Enumeration date
11/14/2005
Last updated
06/12/2018
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