NPI 1811609159

Carl Ben Sain

Practitioner Driver Grand Rapids, MI

Practice location

Address: 3808 Camelot Dr SE APT 1b, Grand Rapids, MI 49546-6043
Phone: (616) 500-4098

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 5803200207 (MI)

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Registry record

NPI: 1811609159
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2022
Record last updated: 19 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.