Organization
SLEEPY FOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H BENADERET MD (MANAGING MEMBER)
(586) 206-0985
Entity
Organization
Contact information
Practice address
15855 19 MILE ROAD, CLINTON TOWNSHIP, MI 48038-3504
(800) 235-3138
(937) 395-4415
Mailing address
3055 KETTERING BLVD, SUITE 219-B, DAYTON, OH 45439-1900
(800) 235-3138
(937) 395-4415
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301033593
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301043632
MI
Other
Enumeration date
05/23/2008
Last updated
07/15/2008
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