Individual
PETER BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
1261 HERITAGE DR, CANTON, MI 48188-1237
(734) 649-2853
Mailing address
1261 HERITAGE DR, CANTON, MI 48188-1237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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