Benjamin Maddock, M.D.

Pediatrics Physician · Howell, MI

Individual Active NPI

NPI number 1679004204

Practice location

3399 E Grand River Ave
Howell, MI 48843-7555
Phone
(734) 539-5080

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NPI record

NPI
1679004204
Entity type
Individual (Type 1)
Enumeration date
March 24, 2017
Last updated
June 7, 2021
Certified
June 7, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 4301504624 MI

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

About Dr. Maddock

Benjamin Maddock, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3399 E Grand River Ave, Howell, MI 48843-7555. The NPI number 1679004204 was assigned on March 24, 2017 and the record was last updated on June 7, 2021.

Dr. Maddock lists a license in the registry: #4301504624 (MI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Maddock, M.D.?

The NPI number is 1679004204.

What is the phone number of Dr. Maddock?

The phone number listed for the practice location is (734) 539-5080.

Where is Dr. Maddock located?

3399 E Grand River Ave, Howell, MI 48843-7555.

What is the taxonomy code for Dr. Maddock?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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