Individual
DR. BENJAMIN EOVALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
376 MAYFAIR ST., HOLLAND, MI 49424
(616) 337-1549
Mailing address
376 MAYFAIR ST., HOLLAND, MI 49424
(616) 337-1549
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101019505
MI
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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