Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
THERESE BENEVICH
Active
Individual
THERESE BENEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063592
MI
208000000X
Pediatrics Physician
4301063592
MI
Other
Enumeration date
07/16/2006
Last updated
11/02/2023
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