Individual
MICHAEL S. BENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CLEVELAND CLINIC, 9500 EUCLID AVENUE, A-71, CLEVELAND, OH 44195-0001
(216) 444-6686
(216) 445-9409
Mailing address
CLEVELAND CLINIC, 9500 EUCLID AVENUE, A-71, CLEVELAND, OH 44195-0001
(216) 444-6686
(216) 445-9409
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
055213
OH
207Y00000X
Otolaryngology Physician
4301052477
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189443510
—
MI
01
—
700H262260
BLUE CROSS-BLUE CROSS
—
01
—
MB052477
CHAMPUS-CHAMPUS
—
Enumeration date
11/28/2006
Last updated
06/20/2011
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