Organization
BENJAMIN JOHN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES MARY SMARCH (MEDICAL RECEPTIONIST)
(810) 984-5001
Entity
Organization
Contact information
Practice address
1217 KEARNEY ST, SUITE 3, PORT HURON, MI 48060-3571
(810) 984-5001
Mailing address
1217 KEARNEY ST, SUITE 3, PORT HURON, MI 48060-3571
(810) 984-5001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301033555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360467
—
MI
Enumeration date
05/20/2008
Last updated
05/20/2008
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