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Individual
ELISSA P BENEDEK
Active
Individual
ELISSA P BENEDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
EB024248
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301024248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2618102841
BCBS PIN
MI
01
—
BM810164
MCARE
MI
Enumeration date
02/13/2007
Last updated
09/11/2025
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