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Individual

BRENT BENSON WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4301078052
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4301078052
MI
208600000X
Surgery Physician
4301078052
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4525210
MI
Enumeration date
09/20/2006
Last updated
11/12/2025
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