Individual
DR. BENJAMIN JAMES KRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5429 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1089
(616) 855-0540
Mailing address
5429 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1089
(616) 855-0540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501301882
MI
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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