Individual
MR. CARL BEN SAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3808 CAMELOT DR SE APT 1B, GRAND RAPIDS, MI 49546-6043
(616) 500-4098
Mailing address
3808 CAMELOT DR SE APT 1B, GRAND RAPIDS, MI 49546-6043
(616) 500-4098
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
5803200207
MI
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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