BENJAMIN D LACK

DEARBORN, MI
NPI1740592146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301097276)
Enumeration Date2010-07-14
Last Update Date2016-08-22
Business Address
-- BENJAMIN D LACK M.D.
840 OAKWOOD BLVD
DEARBORN, MI 48124-2319
Phone number: 313-359-7600
Mailing Address
-- BENJAMIN D LACK M.D.
PO BOX 2802
DEARBORN, MI 48123-2929
Phone number: 313-359-7600
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