Individual provider · Type 1 NPI

Edidiong Macdonald Okon Ben, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1912754169 Active

Practice location

4201 Saint Antoine St Ste 6A
Detroit, MI 48201-2153

Call (313) 745-4627 Map

Fax (313) 966-7305

Mailing address

4201 Saint Antoine St Ste 9C
Detroit, MI 48201-2153

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912754169

Edidiong Macdonald Okon Ben, MD's National Provider Identifier is 1912754169, issued on May 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 6, 2024.