Individual
MR. BENJAMIN GEORGE MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3786 EDGEWOOD DR, BURTCHVILLE, MI 48059-1662
(810) 662-5724
Mailing address
3730 LAPEER RD LOT 60, PORT HURON, MI 48060-4504
(810) 662-5724
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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