Individual
BENEDICT GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14720 KING RD, SUITE B, RIVERVIEW, MI 48193-7945
(734) 692-6676
(734) 692-6618
Mailing address
PO BOX 422, GROSSE ILE, MI 48138-0422
(734) 692-6676
(734) 692-6618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301057837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4534238
—
MI
Enumeration date
05/04/2006
Last updated
10/10/2011
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