Individual
DR. MELISSA KAY BENBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13750 S SEDONA PKWY, LANSING, MI 48906-8101
(517) 353-4000
(517) 353-4001
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 353-4000
(517) 353-4001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.095877
OH
208000000X
Pediatrics Physician
Primary
4301104293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053564617
—
MI
01
—
35.095877
OHIO STATE MEDICAL LICENSE
OH
01
—
4301104293
MI MEDICAL LICENSE
MI
01
—
57-014989
TRAINING CERTIFICATE
OH
Enumeration date
10/28/2008
Last updated
07/21/2025
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