# BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003358482
- **Authorized official:** MR. DANIEL R. THORELL JR. (HEALTH OFFICER)
- **Authorized official phone:** (231) 882-4409

## Contact information

- **Practice address:** 6051 FRANKFORT HWY, SUITE 100, BENZONIA, MI 49616-9558
- **Practice address phone:** (231) 882-2116
- **Practice address fax:** (231) 882-2204
- **Mailing address:** 6051 FRANKFORT HWY, SUITE 100, BENZONIA, MI 49616-9558
- **Mailing address phone:** (231) 882-2116
- **Mailing address fax:** (231) 882-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019190 | MI | Yes |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 06/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1881719086 | — | MI |