Individual
DR. EDIDIONG MACDONALD OKON BEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201-2153
(313) 745-4627
(313) 966-7305
Mailing address
4201 SAINT ANTOINE ST STE 9C, DETROIT, MI 48201-2153
(313) 745-5147
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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