Individual
RICHARD HUGH BENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 MICHIGAN ST NE, SUITE 101, GRAND RAPIDS, MI 49503-3523
(616) 459-3713
(616) 459-3716
Mailing address
PO BOX 3140, GRAND RAPIDS, MI 49501-3140
(616) 459-3713
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301030073
MI
Other
Enumeration date
07/07/2005
Last updated
10/31/2018
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