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Individual

BENJAMIN HERDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1632 STONE ST, SAGINAW, MI 48602

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
08/29/2017
Last updated
05/06/2026
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