Individual
CARLIE M BENINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
818 W KING ST, STE 103, OWOSSO, MI 48867-2116
(989) 723-8333
(989) 725-6133
Mailing address
818 W KING ST, STE 103, OWOSSO, MI 48867-2116
(989) 723-8333
(989) 725-6133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005083
MI
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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