Individual
MR. MATTHEW TODD BENTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CORPSMAN
Contact information
Practice address
1175 AIRPORT ACCESS RD, TRAVERSE CITY, MI 49686-3513
(231) 922-8282
(231) 922-8292
Mailing address
1175 AIRPORT ACCESS RD, TRAVERSE CITY, MI 49686-3513
(231) 922-8282
(231) 922-8292
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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