Individual
DR. EUGENE GEORGE BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
802 E FRONT ST, SUITE 2, BUCHANAN, MI 49107-1499
(269) 695-9011
(269) 695-2251
Mailing address
802 E FRONT ST, SUITE 2, BUCHANAN, MI 49107-1499
(269) 695-9011
(269) 695-2251
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001440A
IN
152W00000X
Optometrist
Primary
4901002243
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5014457
—
MI
Enumeration date
07/07/2006
Last updated
01/14/2013
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