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Individual
DR. ANTHONY V BENENATI
Active
Individual
DR. ANTHONY V BENENATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001624
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2970406
—
MI
01
—
4855013430
BC
—
01
—
4855055560
BLUE CROSS PIN NUMBER
MI
01
—
540E017630
BC DME SUPPLIER
MI
Enumeration date
06/01/2006
Last updated
04/09/2008
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