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Contact Information

BENJAMIN W NYKAMP, MD
6741 FULTON ST E
ADA, MI49301
 Phone: 616-320-5450
 Fax:
 Website: https://www.rivercityderm.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BENJAMIN W NYKAMP · (Male)

NPI Number 1700984390
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # BN032157
  • MI Medicaid 2609008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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