Benjamin Martin Bly
Neurologist
1500 East Medical Center Drive 1st Floor University Hospital Room 1b300
Ann Arbor
, Michigan 48109-5036
Benjamin Martin Bly
Neurologist
1500 East Medical Center Drive 1st Floor University Hospital Room 1b300
Ann Arbor
, Michigan 48109-5036
(734) 936-2047
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Benjamin Martin Bly
- 3621 South State Street 700 Kms Place
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Benjamin Martin Bly
- 1500 East Medical Center Drive 1st Floor University Hospital Room 1b300
- Ann Arbor, MI
- Zip : 48109-5036
- Fax : (734) 936-5520
- Phone : (734) 936-9035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 4301094347 | MI |
National Provider Identifier
| NPI | 1023246998 |
|---|---|
| Provider Name | Benjamin Martin Bly |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48109-5036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2009 |
| Last Update Date | 08/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.