Individual
DR. CHAS MICHAEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., B.S.
Contact information
Practice address
4604 N SAGINAW RD, SUITE A, MIDLAND, MI 48640-2387
(989) 832-7535
Mailing address
8745 MIDLAND RD, FREELAND, MI 48623-8711
(770) 634-3977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009215
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4892603
—
MI
Enumeration date
08/10/2006
Last updated
07/08/2007
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