Individual
DR. ANTHONY V BENENATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
27593 HARPER, SAINT CLAIR SHORES, MI 48081
(586) 779-6140
(586) 779-9865
Mailing address
27593 HARPER, SAINT CLAIR SHORES, MI 48081
(586) 779-6140
(586) 779-9865
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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